| Regimental number | 1577 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | 9 Mair Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs Annie Benjamin, 9 Mair Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |