| Regimental number | 6900A |
| Place of birth | Kerang Victoria |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | Ultima, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R L Teasdale, Golden Square, Bendigo, Victoria |
| Enlistment date | 7 July 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
