| Regimental number | 65116 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister-in-Law, Mrs F Stevenson, Moncur Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 21 July 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
