| Regimental number | 1235 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Chappell Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Wall, Chappell Street, Marrickville, New South Wales |
| Enlistment date | 31 October 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |
