| Regimental number | 22549 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 70 Green Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M Osborne, 70 Green Street, Richmond, Victoria |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Reinforcement 1 |
| AWM Embarkation Roll number | 13/133/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |