| Regimental number | 6931 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Sara Ivimey, 127 Carrington Street, Waverley, New South Wales |
| Enlistment date | 29 January 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
