| Regimental number | 7762 |
| Religion | Congregational |
| Occupation | Jeweller |
| Address | 8 Margaret Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Stock, 8 Margaret Street, Rozelle, Sydney, New South Wales |
| Previous military service | 7th Light Horse |
| Enlistment date | |
| Rank on enlistment | Bombardier |
| Unit name | Reinforcement 10 |
| AWM Embarkation Roll number | 13/33/1 |
| Miscellaneous details (Nominal Roll) | see other |