| Regimental number | 51621 |
| Place of birth | Bendigo Victoria |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Nil |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs F Gray, 3 Fletcher Street, Essendon, Victoria |
| Enlistment date | 10 February 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
