| Regimental number | 1204 |
| Religion | Wesleyan |
| Occupation | Labourer |
| Marital status | Widower |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs H Daggar, Glenbach, Verwig, near Cardigan Town, Cardiganshire, Wales |
| Enlistment date | 22 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |