| Regimental number | 6906 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 28 Mansfield Street, Thornbury, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs L Willmott, 28 Mansfield Street, Thornbury, Victoria |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |