| Regimental number | 674 |
| Place of birth | Wellington England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 321 Packington Street, Chilwell, Geelong, Victoria |
| Marital status | Widower |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs E Tarr, 321 Packington Street, Chilwell, Geelong, Victoria |
| Enlistment date | 3 February 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 12 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
