| Regimental number | 4947 |
| Place of birth | Echuca Victoria |
| Religion | Church of England |
| Occupation | Riveter |
| Address | 74 Munster Terrace, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A Rogers, 74 Munster Terrace, North Melbourne, Victoria |
| Enlistment date | 26 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Effective abroad (still overseas) |
