| Regimental number | 4536 |
| Religion | Congregational |
| Occupation | Patent attorney |
| Address | ... |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs C M Waters, Vici Emo Road, East Malvern, Victoria |
| Enlistment date | 14 June 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
