| Regimental number | 6356 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E M Ross, 34 Malcolm Street, Erskineville, Sydney, New South Wales |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
