| Regimental number | 1119 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | lS Clerk |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary J Booth, 1002 Dana Street, Ballarat, Victoria |
| Enlistment date | 2 October 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Fate | No details of fate entered on Nominal Roll |
