| Regimental number | 646 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | Church Street, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M L Pateman, Mudgee, New South Wales |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Company, 11th Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
