| Regimental number | 1204 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs A Smith, 25 Craydon, Road, Reigate, Surrey, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | nonrrr |