| Regimental number | 6486 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Boundary rider |
| Address | 8 Bent Street Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs J Credgington, 109 Sutherland Street, Padington, New South Wales |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | nonr |
