| Regimental number | 6506 |
| Place of birth | Pratten Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pratten via Cunningham, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs M Kerridge, C/o Mrs E V Scott, Dragon Street, Warwick, Queensland |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
