| Regimental number | 37921 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 120 Pitt Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Una Florence Tate, 57 Louis Street, Redfern, Sydney, New South Wales |
| Enlistment date | 9 March 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 31 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
