| Regimental number | 803 |
| Place of birth | Nathalia, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 18 Berry Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs F Bull, 18 Berry Street, Richmond, Victoria |
| Enlistment date | 29 December 1914 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, D Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Fate | No details of fate entered on Nominal Roll |