| Regimental number | R1406 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 32 |
| Previous military service | 93rd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | see other |