| Regimental number | 367 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Annie Hoskins, Trentham, Racecourse Road, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, B Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |