| Regimental number | 2409A |
| Next of kin | Mrs F H Nicholson, Fry's Creek, Chewton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |