| Regimental number | 2205 |
| Religion | Methodist |
| Occupation | Grocer |
| Address | Reserve Street, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Richard, Reserve Street, Claremont, Western Australia |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |