| Regimental number | 66803 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | 24 Womerah Avenue, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Wiley, 24 Womerah Avenue, Darlinghurst, Sydney, New South Wales |
| Previous military service | 2nd Battalion 55th Infantry |
| Enlistment date | 31 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |