| Regimental number | 505 |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Green Street, Brompton, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Honara Carolina Jeffries, Green Street, Brompton, Adelaide, South Australia |
| Enlistment date | 21 December 1915 |
| Rank on enlistment | Able Bodied Driver |
| Unit name | Royal Australian Naval Bridging Train Reinforcement |
| AWM Embarkation Roll number | 34/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 25 July 1916 |
| Miscellaneous details (Nominal Roll) | crossed out on N.R. |
