| Regimental number | 1614 |
| Place of birth | Burra South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Aberdeen, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Elizabeth Vivian, Aberdeen, South Australia |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 18 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Troop Engineers |
| Fate | Effective abroad (still overseas) |