| Regimental number | 28976 |
| Place of birth | Raymond Terrace New South Wales |
| Religion | Church of England |
| Occupation | Railway foreman |
| Address | 16 Napoleon Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Roderick, 16 Napoleon Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 24 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | AIF Kit Stores |
| Fate | Effective abroad (still overseas) |
