| Regimental number | 813 |
| Religion | Church of England |
| Occupation | Independent |
| Address | 15 Dover Road, Rose Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Fate | No details of fate entered on Nominal Roll |