| Regimental number | 1062 |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, G Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia |