| Regimental number | 1045 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Engine driver |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mrs A Maitland, Repton, Bellinger River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, B Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Fate | No details of fate entered on Nominal Roll |