| Regimental number | 57911 |
| Place of birth | Eidsvold Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | East Street, Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs P A Stickens, East Street, Mount Morgan, Queensland |
| Enlistment date | 20 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
