| Regimental number | 3933 |
| Place of birth | Lancashire, England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 4 Stanley Street, Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister-in-Law, Mrs E T Phillips, 45 Leamington Street, Waterhead, Oldham, England |
| Enlistment date | 11 August 1915 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |