| Regimental number | 6722 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Black Forest, South australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H Birch, Orchard Avenue, Black Forest, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |