| Regimental number | 39727 |
| Place of birth | Semaphore South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | East Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S J Witcombe, c/o Mrs Straughton, 'Exford', Melton, Victoria |
| Enlistment date | 6 February 1918 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 35 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
