| Regimental number | 69392 |
| Place of birth | Shepparton Vic |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wyndham Street, Shepparton, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Allen, 41 St John Street, Windsor, Victoria |
| Enlistment date | 26 February 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
