| Regimental number | 14402 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Brass moulder |
| Address | North Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A M Birch, 12 College Street, North Williamstown, Victoria |
| Previous military service | 14th Australian Army Medical Corps |
| Enlistment date | 25 May 1916 |
| Rank on enlistment | Sergeant |
| Unit name | Sea Transport Staff Section 1 |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | No. 1 C. Transport Staff |
| Fate | Effective abroad (still overseas) |
