| Regimental number | 7 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Southport, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ada Surch, Southport, Queensland |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A75 Marathon on 27 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
