| Regimental number | 3450 |
| Religion | Church of England |
| Occupation | Carter |
| Address | Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, R E Robin, 63 Morehead Street, Waterloo, Sydney, New South Wales |
| Enlistment date | 4 August 1915 |
| 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 13 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
