| Regimental number | 3613 |
| Religion | Methodist |
| Occupation | Miner |
| Address | Corrimal, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs B Hutchinson, Park Road, Corrimal, New South Wales |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Corporal |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Fate | No details of fate entered on Nominal Roll |
