| Regimental number | 691 |
| Address | East Street, Daylesford, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, F Company |
| AWM Embarkation Roll number | 23/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |