| Regimental number | 25911 |
| Place of birth | Auburn, Victoria |
| Religion | Presbyterian |
| Occupation | Draper |
| Address | 214 Glenferrie Road, Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, 50 Glenferrie Road, Malvern, Victoria |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | 23rd Howitzer Brigade, 4th Reinforcement |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |