| Regimental number | 1964 |
| Place of birth | Liverpool, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Narrogin, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs S Thurman, 75 Hornby Road, Blackpool, England |
| Enlistment date | 19 February 1915 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 26 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
