| Regimental number | 4071 |
| Place of birth | Walhalla Victoria |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 77 Grosvenor Road, North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs R A Travers, 56 Grosvenor Road, Mount Lawley, Western Australia |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
