| Regimental number | 1158 |
| Religion | Presbyterian |
| Occupation | Packer |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs K C McIntosh, Mincha, via Bendigo, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |