| Regimental number | 1799 |
| Place of birth | Belgrave Victoria |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Rienzi Carlton Parade, Carlton, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Symons, Rienzi Carlton Parade, Carlton, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Miscellaneous details (Nominal Roll) | nonrr |
