| Regimental number | 12 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Assayer |
| Address | Cairns P O, Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs Marion Riordan, Botany, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |