| Regimental number | 1998 |
| Place of birth | Melbourne Victoria |
| Religion | Congregational |
| Occupation | Painter's improver |
| Address | Elizabeth Street, Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Foster Mother, Mrs H Stokan, 'Kurrojong', Elizabeth Street, Malvern, Victoria |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |