| Regimental number | 1229 |
| Marital status | Single |
| Age at embarkation | 21 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion Head-Quarters Staff |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |