| Regimental number | 1004 |
| Religion | Church of England |
| Occupation | Mercer |
| Address | 78 Station Street, Fairfield |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A E Kimpton, 78 Station Street, Fairfield |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Corporal |
| Unit name | 29th Battalion, D Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
