| Regimental number | 68672 |
| Place of birth | British Columbia, Canada |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs R Wardell, Aberdare Street, Kurri Kurri, New South Wales |
| Enlistment date | 9 August 1918 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| 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 |
