| Regimental number | 1048 |
| Place of birth | Caulfield Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Princes Hill, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Doris Jordan, 36 Wilson Street, Princes Hill, North Carlton, Victoria |
| Enlistment date | 10 November 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Miscellaneous details (Nominal Roll) | No details of fate entered on Nominal Roll. |