| Regimental number | 2479 |
| Place of birth | Clermont Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Yandina, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Eva North, 'Kooringa', Swan Street, Sandgate, Queensland |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
