| Regimental number | 3104 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Poulterer |
| Address | 9 Little Cruickshank Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs I Norman, 9 Little Cruickshank Street, Port Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Effective abroad (still overseas) |
