| Regimental number | 2681 |
| Religion | Church of England |
| Occupation | Chainman |
| Address | King Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Elsie Hope Docker, Commercial Bank, Armidale, New South Wales |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
