| Regimental number | 4136 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Darlingford, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, N Brooks, Darlingford, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Fate | No details of fate entered on Nominal Roll |