| Regimental number | 59116 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Draper |
| Address | Carlton, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A G Waters, 'Orveito', High Street, Carlton, New South Wales |
| Enlistment date | 11 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 11 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |