| Regimental number | 11 |
| Place of birth | Caterham, England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Warragaburra, Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, P smith, Warragaburra, Bega, New South Wales |
| Enlistment date | 16 November 1915 |
| Place of enlistment | Bega, New South Wales |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
