| Regimental number | 4802 |
| Religion | Church of England |
| Occupation | Baker |
| Address | 109 Flood Street, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs T Williams, 109 Flood Street, Leichhardt, New South Wales |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |