| Regimental number | 4779 |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Stuart Place, off Cecil Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M E Cameron, 10 Stuart Place, off Cecil Street, South Melbourne, Victoria |
| Enlistment date | 25 November 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Fate | No details of fate entered on Nominal Roll |
