| Regimental number | 490 |
| Religion | Methodist |
| Occupation | Gardener |
| Address | C/o Mr T Reed, Forrest Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | William A Andrew, Raglan Street, Daylesford, Victoria |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, A Company |
| AWM Embarkation Roll number | 23/55/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
