| Regimental number | 6066 |
| Religion | Church of England |
| Occupation | Fisherman |
| Address | 420 Glenmore Road, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Christina Martin, 420 Glenmore Road, Paddington, New South Wales |
| Enlistment date | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Fate | No details of fate entered on Nominal Roll |