| Regimental number | 1481 |
| Place of birth | Newcastle England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide PO, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Keeney, care or Mrs Hilton, New Street, Grighton, Victoria |
| Enlistment date | 27 November 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
