| Regimental number | 5398 |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs B Neilson Limestone Street, Ipswich, Queensland |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
