| Regimental number | 4777 |
| Religion | Church of England |
| Occupation | Rivet heater |
| Address | 5 Trouton Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs E Halliday, 5 Trouton Street, Balmain, Sydney, New South Wales |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
