| Regimental number | 3650 |
| Place of birth | Kilmarnock Scotland |
| Religion | Presbyterian |
| Occupation | Coal miner |
| Address | Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Dalziel, Alexander Terrace, Neilston, Glasgow, Scotland |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 12, Reinforcement 2 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
