| Regimental number | 67956 |
| Place of birth | Fitzroy Victoria |
| Religion | Methodist |
| Occupation | Photo engraver |
| Address | 216 Falcon Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M J H Waite, 216 Falcon Street, North Sydney, New South Wales |
| Enlistment date | 7 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
