
| Regimental number | 3119 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Alice Carter, c/o PO, North Carlton,, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |