| Regimental number | 10574 |
| Religion | Church of England |
| Occupation | Cook |
| Address | Kincross Station, Germantown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Annie L Abbley, 91 Rose Terrace, Wayville, Adelaide, South Australia |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 13 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | crossed out |
