| Regimental number | 5165 |
| Religion | Church of England |
| Occupation | Painter |
| Address | West Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs M Chapman, 59 Lurline Street, West Adelaide, South Australia |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Miscellaneous details (Nominal Roll) | see other |
