| Regimental number | 22490 |
| Place of birth | North Richmond Victoria |
| Religion | Church of England |
| Occupation | Boot trade |
| Address | 83 Johnson Street, North Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs A Thwaites, 162 Powlett Street, East Melbourne, Victoria |
| Previous military service | 56th Infantry |
| Enlistment date | 8 May 1915 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
