| Regimental number | 5478 |
| Religion | Church of England |
| Occupation | Printer |
| Address | Hotel Sydney, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs R Coates, Manor Cottage, Ramsgate, England |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
