| Regimental number | 1858 |
| Place of birth | Ararat Victoria |
| Religion | Methodist |
| Occupation | Telegraphist |
| Address | Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mr A E Jennings, Portland, Victoria |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 3, Section 3 |
| AWM Embarkation Roll number | 22/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
