
| Regimental number | 3749 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Boyup Brook, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Carles, Boyup Brook, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on |
| Fate | No details of fate entered on Nominal Roll |