| Regimental number | 906 |
| Religion | Church of England |
| Occupation | Milk vendor |
| Address | 144 Flinders Street, Moore Park, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |