| Regimental number | 5913 |
| Place of birth | Quebec Canada |
| Religion | Church of England |
| Occupation | Miner |
| Address | Scarsborough, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, Mrs Burrows, Scarborough, New South Wales |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
