| Regimental number | 4385 |
| Religion | Church of England |
| Occupation | Groom |
| Address | William Street, Double Bay, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Fanny Merryman, Clare, Double Bay, New South Wales |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
