| Regimental number | 6115 |
| Religion | Methodist |
| Occupation | Advertisement writer |
| Address | corner of Canning and O'Grady Streets, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A A Modkins, corner of Canning and O'Grady Streets, North Carlton, Victoria |
| Enlistment date | 15 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 11 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Moldavia on 2 October 1915 |
| Rank from Nominal Roll | Private |
