| Regimental number | 17210 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Clissold Parade, Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E T Neville, Clissold Parade, Campsie, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
