| Regimental number | 69020 |
| Place of birth | Carlton, Victoria |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Thornton Avenue, Surrey Hills, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Thornton Avenue, Surrey Hills, Victoria |
| Enlistment date | 15 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |