| Regimental number | 69003 |
| Place of birth | Malsbury, Victoria |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | Mollison Street, Malmsbury, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Bidwell, Mollison Street, Malmsbury, Victoria |
| Enlistment date | 26 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |