| Regimental number | 1123A |
| Religion | Church of England |
| Occupation | Ship's steward |
| Address | Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Mary Holmes, 29 Market Street, Fenton, Staffordshire, England |
| Enlistment date | 3 March 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | 37th Battalion, D Company |
| AWM Embarkation Roll number | 23/54/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Fate | No details of fate entered on Nominal Roll |
