
| Regimental number | 3904 |
| Religion | Presbyterian |
| Occupation | Shoemaker |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs M Bone, Block 82 South Estate, Spring Vale, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |