| Regimental number | 62577 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Driver |
| Address | Bowden, South Australia |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs E Mason, 7th Street, Bowden, South Australia |
| Enlistment date | 12 May 1917 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
