| Regimental number | R3791 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Caroline Ruth Elizabeth Hildreth, 17 Brown Street, East Perth, Western Australia |
| Enlistment date | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Miscellaneous details (Nominal Roll) | see other |