| Regimental number | 991 |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 19 Ferris Street, Annandale, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Hilda Olive Churchill, 19 Ferris Street, Annandale, Sydney, New South Wales |
| Enlistment date | 11 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), D Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |