| Regimental number | 8473 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | c/o Mr Sam Sage, Waikerie, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Stella Ellison Norcombe, c/o Mr Sam Sage, Waikerie, South Australia |
| Enlistment date | 9 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Battery 18 |
| AWM Embarkation Roll number | 13/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |