| Regimental number | 1634 |
| Religion | Methodist |
| Occupation | Commercial traveller |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Lena Mangham, 34 Pawnall Road, Dalston, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on |
| Fate | No details of fate entered on Nominal Roll |