| Regimental number | 6176 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 52 Commonwealth Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Way, 52 Commonwealth Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 1 September 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Regimental number from Nominal Roll | 6176A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Company, Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |