| Regimental number | 3764 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Ship's steward |
| Address | 145 Foveaux Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E Burnard, 145 Fouveaux Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 11 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Fate | No details of fate entered on Nominal Roll |
