| Regimental number | 66657 |
| Place of birth | Ballarat, Victoria |
| Religion | Presbyterian |
| Occupation | Bank clerk |
| Address | 218 Dawson Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs H Beacham, 218 Dawson Street, Ballarat, Victoria |
| Enlistment date | 21 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |