| Regimental number | 4136 |
| Religion | Church of England |
| Occupation | Tile layer |
| Address | 53 Gladstone Road, Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Brother, 53 Gladstone Road, Mile End, South Australia |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Fate | No details of fate entered on Nominal Roll |
