| Regimental number | 8361 |
| Place of birth | Port Chalmers, New Zealand |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | 21 Lester Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs L Crossley, 21 Lester Street, Paddington, New South Wales |
| Enlistment date | 3 August 1915 |
| Place of enlistment | Warwick Farm, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 13 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | see other |