| Regimental number | 2076 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Summer Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs S A Putt, 7 Smith Street, Summer Hill, New South Wales |
| Enlistment date | 27 February 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
