| Regimental number | 4502 |
| Religion | Church of England |
| Occupation | Ironworker |
| Address | 51 Tope Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr Williams, 51 Tope Street, South Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |