| Regimental number | 58 |
| Place of birth | Scone New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs C M Mills, Stanbrooke, Glencoe, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Veterinary Section 1 |
| AWM Embarkation Roll number | 27/26/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A31 Ajana on |
| Fate | No details of fate entered on Nominal Roll |