| Regimental number | 2124 |
| Religion | Methodist |
| Occupation | Bullock driver |
| Address | Cooran, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Rachel Andrews, Cooran, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |