| Regimental number | 3621 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 176 Queen Street, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Kate Taylor, 176 Queen Street, Bendigo, Victoria |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
