| Regimental number | 6777 |
| Place of birth | Ringwood Victoria |
| Religion | Church of England |
| Occupation | Manufacturer |
| Address | Camberwell, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs jane Cutts c/o Mrs Shannon, 351 Canterbury Road, Canterbury, Victoria |
| Enlistment date | 20 January 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | NIG |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Noted Original documents torn NR |