| Regimental number | 2392 |
| Religion | Church of England |
| Occupation | Showman |
| Address | Ruthven Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Cousin, Mrs Annie Virgin, Ruthven Street, Toowoomba, Queensland |
| Enlistment date | 23 June 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
