| Regimental number | 9069 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maryvale Street, Toowong, Queensland |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs L Sandover, Maryvale Street, Toowong, Queensland |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Bombardier |
| Unit name | 2nd Divisional Ammunition Column |
| AWM Embarkation Roll number | 25/90/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on 16 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
