| Regimental number | 59274 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Pitman |
| Address | Adamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs M Kerr, 5 Short Street, Balmain, New South Wales |
| Enlistment date | 28 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
