| Regimental number | 5953 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Devon Street, Plattsburg, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Jeffrey, Devon Street, Plattsburg, Newcastle, New South Wales |
| Enlistment date | 28 June 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |