| Regimental number | 67413 |
| Place of birth | Port Macquarie New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Port Macquarie, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Kingsford, Port Macquarie, New South Wales |
| Previous military service | 2nd Battalion 35th Infantry |
| Enlistment date | 29 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
