| Regimental number | 3801 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lestieville, Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs A A Travers Jones, c/o Mrs D A Gronton, Lestieville, Lismore, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |