| Regimental number | 22499 |
| Religion | Methodist |
| Occupation | Lineman |
| Address | 10 Brookman Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs G Dixon, 10 Brookman Street, Perth, Western Australia |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Reinforcement 1 |
| AWM Embarkation Roll number | 13/133/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
