| Regimental number | 9110 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of Christ |
| Occupation | Masseur |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E J Beck, 6 Bromham Place, Richmond, Victoria |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Miscellaneous details (Nominal Roll) | see other page 365 |
