| Regimental number | 3813 |
| Place of birth | Woodville South Australia |
| Religion | Church of England |
| Occupation | Moulder |
| Address | Finsbury Park, Woodville, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M A Mitchell, Finsbury Park Woodville, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 169 Date: |