
| Regimental number | 4546 |
| Place of birth | Doncaster Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Talbot Avenue, Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Sarah Warren, Talbot Avenue, Canterbury, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |