| Regimental number | 19208 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hunters Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Aunt, Mrs Ellen Hazelwood, Mark Street, Hunters Hill, New South Wales |
| Enlistment date | 4 December 1916 |
| Rank on enlistment | Sapper |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Fate | No details of fate entered on Nominal Roll |
