| Regimental number | 1578 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Soldier |
| Address | North Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs S H Pyke, 36 Russell Place, North Williamstown, Victoria |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | 1 September 1918 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 21 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
