| Regimental number | 966 |
| Place of birth | Malmsbury Victoria |
| Religion | Church of England |
| Address | Bridgewater on Loddon, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Stephenson, Bridgewater, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, H Company |
| AWM Embarkation Roll number | 23/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on |
| Miscellaneous details (Nominal Roll) | see other |