| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs M. Stevens, Kirribilli Point, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, Machine Gun Section |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A33 Ayrshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |