
| Regimental number | 3420 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | friend, Mrs. L. Pidgeon, Fairview Bellevue, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |