| Regimental number | 6975 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Numeham Park, Mandurama, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs E Cobb, Numeham Park, Mandurama, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |