| Regimental number | 3945 |
| Religion | Baptist |
| Occupation | Harnessmaker |
| Address | Unwart Street off Baine Street, West End, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs Rose Edith Warren, Unwart Street off Baine Street, West End, Brisbane, Queensland |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
