| Regimental number | 774 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Germanton, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Henry Karlie Warden, Parker Street, Haymarket, Sydney, New South Wales |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Tropical Force, Australian Naval & Military Expeditionary Force |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Te-Anau on 20 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
