| Regimental number | 3379 |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Elizabeth Summerell, c/o L Meyers, North Street, Harden, New South Wales |
| Enlistment date | 5 June 1917 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |