| Regimental number | 472 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Gormanston, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | T C Meyers, Gormanston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, D Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on |
| Rank from Nominal Roll | Private |