| Regimental number | 69337 |
| Place of birth | Brunswick Victoria |
| Religion | Congregational |
| Occupation | Presser |
| Address | 181 Albert Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E Weaver, 181 Albert Street, East Brunswick, Victoria |
| Previous military service | 5th Battalion 21st Infantry |
| Enlistment date | 31 August 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
