| Regimental number | 4149 |
| Religion | Church of England |
| Occupation | Tobacco worker |
| Address | York, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Betts, C/o Mrs W Bell, York, Western Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Fate | No details of fate entered on Nominal Roll |