| Regimental number | 4730 |
| Religion | CS |
| Occupation | Clerk |
| Address | Commonwealth Savings Bank Melbourne, A/c No 80647 |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Mr C Andrew, Botany Roberts Bridge, Sussex, England |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
