| Regimental number | 917 |
| Religion | Methodist |
| Occupation | Miner |
| Address | South Dudley, Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | C A Morgan, Address Unknown |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, H Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on |
| Rank from Nominal Roll | Private |