| Regimental number | 204 |
| Religion | Protestant |
| Occupation | Miner |
| Address | Avondale Union Road, Surrey Hills, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss L C Porter, Avondale Union Road, Surrey Hills, Victoria |
| Enlistment date | 27 August 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, B Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 31 October 1914 |
| Miscellaneous details (Nominal Roll) | see other |