| Regimental number | 100 |
| Place of birth | Wellington New Zealand |
| Religion | Church of England |
| Occupation | Vaudeville artist |
| Address | Camperdown, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Florence Whitehead Widdop, Royal Alexandria Hospital for Women, Camperdown, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | INF23.112.3CB |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |