| Regimental number | 436 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Cornwall Street, Trafalgar, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | mother., Mrs Lily Neil, Same Address |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |