| Regimental number | 3407 |
| Religion | Church of England |
| Occupation | General station hand |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Nil, Charters Towers, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |