| Regimental number | 11753 |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Lydiard Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Owens, Lydiard Street, Ballarat, Victoria |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 14 |
| AWM Embarkation Roll number | 13/30/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
