| Regimental number | 1864 |
| Place of birth | Ipswich England |
| Religion | Church of England |
| Occupation | Grafter |
| Address | Illawarra Road, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Minnie Mullett, Illawarra Road, Marrickville, New South Wales |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Effective abroad (still overseas) |
