| Regimental number | 7802 |
| Religion | Congregational |
| Occupation | Grazier |
| Address | Degilbo, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs M Procter, Tranmere Bridge Street, North Sydney, New South Wales |
| Enlistment date | 26 September 1917 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
