| Regimental number | 67014 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | 45 Adelaide Street, South Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Miss E A Worbey, 45 Adelaide Street, South Hobart, Tasmania |
| Previous military service | 2nd Battalion 40th Infantry |
| Enlistment date | 23 April 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
