| Regimental number | 62303 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Cook |
| Address | Hawker, A |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Friend, W Young, c/o Pengilley and Co, Edwardstown, South Australia |
| Enlistment date | 11 June 1918 |
| Rank on enlistment | Private |
| Unit name | 5th South Australian Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
