| Regimental number | 4189 |
| Place of birth | Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | l53 Drummond Street, Carlton, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ettie Robertson, l53 Drummond Street, Carlton, Melbourne, Victoria |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
