| Regimental number | 4656 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 1 Railway Place, Balaclava, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Alice Waterson, 1 Railway Place, Balaclava, Victoria |
| Enlistment date | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
