| Regimental number | 6089 |
| Place of birth | Wollongong New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Kembla Heights, Cordeaux River, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Stafford, Kembla Height, Cordeaux River, New South Wales |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Miscellaneous details (Nominal Roll) | j0jr |
