| Regimental number | 1099 |
| Place of birth | Cobram Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 123 Queensberry Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss L Rowe, Cafe Canton, Swansson Street, Melbourne, Victoria |
| Enlistment date | 5 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 1st Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
