| Regimental number | 1411 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 213 Stokes Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs R Matters, 213 Stokes Street, Port Melbourne, Victoria |
| Enlistment date | NO ENTRY |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
