| Regimental number | 1119 |
| Religion | Church of England |
| Occupation | Driver |
| Address | Florence Street, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Florence Street, Port Pirie, South Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
