| Regimental number | 7580 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Cousin, Miss M Kitchner, Merrylands Road, Booth Town, via Wentwothville, New South Wales |
| Enlistment date | 21 May 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |