| Regimental number | 3925 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Barman |
| Address | Craod's Bank Hotel, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, L D J Dorman, Modai, Queensland |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |