| Regimental number | 58785 |
| Place of birth | Rushworth, Victoria |
| Religion | Roman Catholic |
| Occupation | Mining engineer |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Isabel May Whitham, 5 Little Walker Street, North Sydney, New South Wales |
| Enlistment date | 30 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
