| Regimental number | 6736 |
| Place of birth | Fitzroy, Victoria |
| Religion | Baptist |
| Occupation | Wood machinist |
| Address | Edwardtown, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E M Cann, C/- Mrs L J Williams, Kertaweeta Avenue, Black Forest, South Australia |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |