| Regimental number | 4282 |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 20 Fitzpatrick Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs Jane Sims, 20 Fitzpatrick Street, South Melbourne, Victoria |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
