| Regimental number | 1616 |
| Marital status | Single |
| Age at embarkation | 27 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |