| Regimental number | 3510 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | South Camberwell, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ellen Christina Symonds, Hill View, Iris Road, South Camberwell, Victoria |
| Enlistment date | 30 March 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/74/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
