| Regimental number | 61931A |
| Place of birth | Preston Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 44 Carlisle Street, Preston, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Guardian, A Neilson, 2 Preston Street, Preston, Victoria |
| Enlistment date | 14 January 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Regimental number from Nominal Roll | 61931 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |