| Regimental number | 1910 |
| Place of birth | Mannerim Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moolap, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs. Esther Ann Warren, 100 Bouverie Street, Carlton, Victoria |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 60th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/77/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |