| Regimental number | 1357 |
| Religion | Protestant |
| Occupation | Shoesmith |
| Address | c/o Mrs G H Francis, Port Pirie West, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs H C Francis, Robert Street, Port Pirie, South Australia |
| Enlistment date | 30 November 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A50 Itonus on 15 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |