| Regimental number | 4915 |
| Place of birth | Lohlarheim England |
| Religion | Church of England |
| Occupation | Drover |
| Address | Boggabilla, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | friend, Mr P Evans, Doherty Street, Mascot, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |