| Regimental number | 4411 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Elizabeth Bellet, 22 High Street, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |