| Regimental number | 3659 |
| Religion | Congregational |
| Occupation | Groom |
| Address | Lismore, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Martha Willmott, Lismore, Richmond River, New South Wales |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
