| Regimental number | 3455 |
| Place of birth | Winchester England |
| Religion | Church of England |
| Occupation | Fireman |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs A Richards, 107 Beeshall Road, Higham Park Clingford, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |