| Regimental number | 3969 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Ironside, Toowong, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E J Weldon, c/o J Broomfield, Ironside, Towong, Brisbane, Queensland |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
