| Regimental number | 62675 |
| Place of birth | Theberton South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gepp's Cross, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E White, Abattoirs, Gepp's Cross, South Australia |
| Previous military service | 48th Infantry |
| Enlistment date | 23 August 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| 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 |
