| Regimental number | 5190 |
| Place of birth | Cheltenham Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Newtown, via Maryiborough, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mr M Ross, Newtown, via Maryborough, Victoria |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
