| Regimental number | 4752 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 25 Council Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Mrs Park, 25 Council Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Fate | No details of fate entered on Nominal Roll |