| Regimental number | 7345 |
| Religion | Church of England |
| Occupation | Miner |
| Address | 18 Chapel Street, East St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Casualty Clearing Station 2 |
| AWM Embarkation Roll number | 26/63/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | see other |