| Regimental number | 3611 |
| Place of birth | St Marys New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Kileen Street, Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Vera Muriel Paskin, Kileen Street, Auburn, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
