| Regimental number | 4567 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 5 South Street, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs J Pearson, 5 South Street, Launceston, Tasmania |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
