| Regimental number | 109 |
| Place of birth | Chiltern Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Flemington, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Annie Jane Withers, 96 Shields Street, Flemington, Victoria |
| Previous military service | AASC Perm Services |
| Enlistment date | 4 January 1918 |
| Rank on enlistment | Driver |
| Unit name | Australian Remount Unit India |
| AWM Embarkation Roll number | 28/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Chindwarra on 3 November 1917 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Chindwarra on 8 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Gracchus on 10 November 1917 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Shirala on 17 November 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Waitoma on 20 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Mahai on 16 January 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
