| Regimental number | 13130 |
| Religion | Presbyterian |
| Occupation | Pharmacist |
| Address | Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Jones, 13 Carinda Street, Canterbury, Victoria |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |