| Regimental number | 1069 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Knight's Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Harriet Martin, Burnside Road, Knight's Bridge, South Australia |
| Enlistment date | 5 October 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Fate | No details of fate entered on Nominal Roll |
