| Regimental number | 6113 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Sailors Home, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Cousin, Miss Gladys Bealey, Kangaroo Valley, Hobart, Tasmania |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Fate | No details of fate entered on Nominal Roll |