| Regimental number | 6109 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Drover |
| Address | G P O Perth, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs B Bott, 224 James Street, Perth, Western Australia |
| Enlistment date | 9 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 12 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
