| Regimental number | 105 |
| Place of birth | Camberwell Victoria |
| Religion | Church of England |
| Occupation | Loco engine driver |
| Address | Upper Beaconsfield, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Elizabeth Merritt, Upper Beaconsfield, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | INF23.112.3CC |
| Rank from Nominal Roll | Private |