| Regimental number | 3727 |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Bay Road, Grassmere, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E Dearon, Bay Road, Grassmere, South Australia |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |