| Regimental number | 5241 |
| Religion | Church of England |
| Occupation | Factory hand |
| Address | 33 Cobden Street, North Melbourme, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs N Semmens, 33 Cobden Street, North Melbourne, Victoria |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
