| Regimental number | 12 |
| Place of birth | Cardiff, Wales |
| Religion | Church of England |
| Occupation | Builder's labourer |
| Address | 388 Bourke Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, John Smith, 72 Gore Street, Fitzroy, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, A Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Effective abroad (still overseas) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |