| Regimental number | 3109 |
| Religion | Methodist |
| Occupation | Sailor |
| Address | Toowong, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |