| Regimental number | 1852 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 361 Canning Street, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | ..., Mrs Caroline Timnis, 361 Canning Street, North Carlton Melbourne, Victoria |
| Enlistment date | 31 December 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 4th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 29 March 1915 |
| Miscellaneous details (Nominal Roll) | missing page |