| Regimental number | 4761 |
| Religion | Church of England |
| Occupation | Tram conductor |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Alice Meades, 257 Elgin Street, Carlton, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |