| Regimental number | 67943 |
| Place of birth | Candelo New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Kingswood, Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, C Williams, Kingswood, Bega, New South Wales |
| Previous military service | 5th Battalion 3rd Infantry |
| Enlistment date | 7 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |