| Regimental number | 62623 |
| Place of birth | Mallala South Australia |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | Dulwich, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs N I Watts, 5 Parkstone Avenue, Dulwich, South Australia |
| Enlistment date | 12 September 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
