| Regimental number | 5748 |
| Place of birth | Pooncarie New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pooncarie PO, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, C Page, Green Vale, via Pooncarie, New South Wales |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 22 July 1919 |
