| Regimental number | 1161 |
| Next of kin | Sister, Crystal Street, Rozelle, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, D Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |
| Fate | No details of fate entered on Nominal Roll |