| Regimental number | 4538 |
| Place of birth | Ross Tasmania |
| Religion | Church of England |
| Occupation | Trainer |
| Address | 84 St David Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs W Scott, 88 Grieve Street, Fitzroy, Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
