| Regimental number | 3143 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tongala |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Florence D Annear, Tongala |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Section C |
| AWM Embarkation Roll number | 26/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |