| Regimental number | 4422 |
| Religion | Methodist |
| Occupation | State School Teacher |
| Address | Archies Creek via Daylesford, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Nellie Florance Jenkins, Archies Creek via Daylesford, Victoria |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 23 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
