| Regimental number | 3080 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o H Fishburn, Dural, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Eliza Stubbs, Alexander Hotel, Wortley Lane, Leeds, Yorkshire, England |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Acting Corporal |
| Unit name | 30th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |