| Regimental number | 3196 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Allan Street, Kyabram, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Wood, Allan Street, Kyabram, Victoria |
| Enlistment date | 26 June 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 16 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |