| Regimental number | 17139 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 18 Oxford Street, Woollahra, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M B Albin, 18 Oxford Street, Woollahra, Sydney, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 4, Reinforcement 3 |
| AWM Embarkation Roll number | 25/92/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | For NR details see other. |
