| Regimental number | 853 |
| Religion | Methodist |
| Occupation | Upholsterer |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Eva Lipscombe 368 Richardsom Street, Middle Park, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, D Company |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | see other |