| Regimental number | 17302 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Liebig Street, Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Jessie Slater, Liebig Street, Warrnambool, Victoria |
| Enlistment date | 4 December 1916 |
| Rank on enlistment | Corporal |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | nonrr |
