| Regimental number | 5084 |
| Religion | Church of England |
| Occupation | Blacksmiths striker |
| Address | 86 Pickle Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Agnes Annie Ross, 86 Pickle Street, South Melbourne, Victoria |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |