| Regimental number | 2209 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Marital status | Single |
| Age at embarkation | 39 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |