| Regimental number | 1570 |
| Place of birth | Junee New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Seymour Street, Bathurst West Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Jeffrey, Seymour Street, Bathurst West Line, New South Wales |
| Enlistment date | 22 April 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
