| Regimental number | 5464 |
| Religion | Church of England |
| Occupation | Ship's fireman |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Rachael Slade, Robinson Street, Claremont, Western Australia |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
