
| Regimental number | 1815 |
| Religion | Church of England |
| Occupation | Rubber worker |
| Address | c/o John Petty, Doncaster, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs Shilton, 3 Wilberforce Road, Leicester, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 4th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |