| Regimental number | 4552 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 77 Beavers Road, Northcote, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Elizabeth Eaton Rennison, 77 Beavers Road, Northcote, Melbourne, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 23 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
