| Regimental number | 4179 |
| Religion | Presbyterian |
| Occupation | Tram driver |
| Address | Ethel May McCann, 230 Neal Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Catherine Provan, 3 Gordon Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Fate | No details of fate entered on Nominal Roll |