| Regimental number | 27369 |
| Religion | Church of England |
| Occupation | Motor car driver |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs K L Witheford, 39 Greens Road, Paddington, New South Wales |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 6 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
