| Regimental number | 5136 |
| Place of birth | Malvern Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E F Hixson, State Savings Bank, North Brunswick, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |
