| Regimental number | 3292 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Florence Jordan, 5 Hegarty Street, Forest Lodge, Sydney, New South Wales |
| Enlistment date | 19 February 1917 |
| Rank on enlistment | Private |
| Unit name | Camel Corps, May 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
