| Regimental number | 5904 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 80 Marian Street, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Van-De-Water, 80 Marian Street, Enmore, New South Wales |
| Enlistment date | 27 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 12 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
