| Regimental number | 3467 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Salvation Army, Sussex Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Gertrude Thompson, 96 Portland Street, Hull, England |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |