| Regimental number | 858 |
| Religion | Protestant |
| Occupation | Baker |
| Address | Railway Street, North Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Jessie Reeves, Railway Street, North Fremantle, Western Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, G Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
