| Regimental number | 1658 |
| Place of birth | Waterloo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Barella Street, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs M Watson, Barella Street, Wollongong, New South Wales |
| Enlistment date | 12 November 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
