| Regimental number | 858 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Ivens, 9 Lichfield Drive, Sedgly Park, Prestwick, Manchester, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, G Company |
| AWM Embarkation Roll number | 23/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a PROV C |
| Fate | Discharged |