| Regimental number | 1529 |
| Place of birth | Collingwood, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 91 Young Street, Fitzroy, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Florence Davey, 91 Young Street, Fitzroy, Melbourne, Victoria |
| Enlistment date | 12 April 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 28 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |