| Regimental number | 10395 |
| Religion | Methodist |
| Occupation | Plasterer |
| Address | 205 Drummond Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs M Conningsby, 55 Upton Street, Launceston, Tasmania |
| Enlistment date | 1 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 2 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |