| Regimental number | 7696 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E V Broome, C/o Mrs T Dagg, 80 Watkins Street, Newtown, Sydney, New South Wales |
| Enlistment date | 6 December 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Effective abroad (still overseas) |
