| Regimental number | 66810 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, F Worters, Spring Street, Arncliffe, New South Wales |
| Previous military service | 9th ALH |
| Enlistment date | 19 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
