| Regimental number | 4845 |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 22 Cowper Street, Waverley, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss E Trewern, Newstead PO, Newstead, Victoria |
| Enlistment date | 16 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
