| Regimental number | 69304 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 84 Stafford Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, D Marshall, Dudley Street, West Melbourne, Victoria |
| Enlistment date | 7 September 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
