| Regimental number | 5123 |
| Place of birth | Yarrowie, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Caltowie, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Nayda, Caltowie, South Australia |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |