| Regimental number | 928 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | Grosvenor Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs E Dixon, Grosvenor Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, H Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |