| Regimental number | 3828 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Hamilton Street, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Mitchell, Hamilton Street, Warwick, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |