| Regimental number | 1792 |
| Religion | Presbyterian |
| Occupation | Cook |
| Address | Leederville, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Mrs Victoria Peterson, same address |
| Enlistment date | 30 May 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |