
| Regimental number | 16091 |
| Place of birth | Bunbury Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 170 Brougham Street, Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs C Small, 170 Brougham Street, Kew, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 6 |
| AWM Embarkation Roll number | 13/32/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |