| Regimental number | 3921 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wallace Street, Coolamon, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E Nest, Wallace Street, Coolamon, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Australian Light Railway Operating company |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Sidney Herbert |
