| Regimental number | 6130 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lottah, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs S A Beckett, Lottah, Tasmania |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 12 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Fate | No details of fate entered on Nominal Roll |