| Regimental number | 2063 |
| Place of birth | London, England |
| Religion | Free Church |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Ladd, 16 Anette Road, Jackson Road, Holloway, London, England |
| Enlistment date | 2 February 1915 |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 5th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |