| Regimental number | 4576 |
| Religion | Church of England |
| Occupation | Timber worker |
| Address | Harvey, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Mary Ann Trounson, Harvey, Western Australia |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
