| Regimental number | 2233 |
| Place of birth | Roebourne Western Australia |
| Religion | Church of England |
| Occupation | Station manager |
| Address | 'Caversham', Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Ada Gillam, 'Caversham', 251 Guildford, Western Australia |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | "nonr" |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
