| Regimental number | 4768 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | State Savings Bank, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Ethel May Sandford, c/o J Friers, Moorabool Street, Geelong, Victoria |
| Enlistment date | 1 April 1916 |
| Rank on enlistment | Acting Corporal |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous details | RE-ATT |
