| Regimental number | 4642 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Pay clerk |
| Address | 'Essex House' 33 Moreland Road, East Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary H Beetson, 'Essex House' 33 Moreland Road, East Coburg, Victoria |
| Enlistment date | 7 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |