| Regimental number | 5979 |
| Religion | Methodist |
| Occupation | Gardener |
| Address | Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs A Cooper, Yarraville, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |