| Regimental number | 2804 |
| Place of birth | Williamstown Victoria |
| Religion | Church of England |
| Occupation | Messenger |
| Address | 127 Nelson Place, Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | guardian, Mis R Brown, Nicholson Street, Footscray, Victoria |
| Enlistment date | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star Of Victoria on 10 September 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
