| Regimental number | 14 |
| Religion | Church of England |
| Occupation | Platelayer |
| Address | Wesley Vale, Tasmania |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Aunt, c/o Mrs Byrons, Wesley Vale, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |