| Regimental number | 9409 |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | French Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Ristron, Mora Road, Rushworth, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 10 |
| AWM Embarkation Roll number | 13/33/1 |
| Miscellaneous details (Nominal Roll) | see other |