| Regimental number | 5003 |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Sale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Friend, Mr Grant, C/o Mr Smith-Glenn, The Heart, Sale, Victoria |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
