| Regimental number | 4007 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | ... |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E Williams, 127 Lord Street, Newtown, New South Wales |
| Enlistment date | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |