| Regimental number | 4011 |
| Place of birth | Warracknabeal Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 28 Napier Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs R Trew, 28 Napier Street, Fitzroy, Victoria |
| Enlistment date | 13 September 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
