
| Regimental number | 6403 |
| Religion | Presbyterian |
| Occupation | Cleaner and dyer |
| Address | 15 Trench Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Nie, Miss Elsie Benoit, 15 Trench Street, Ballarat North, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |