| Regimental number | 7746 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Old Dubbo, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Ingram, Old Dubbo, Dubbo, New South Wales |
| Enlistment date | 14 December 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |