| Regimental number | 3255 |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Eton Street, Malvern, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E B Dengarde c/o Mrs H Simmons, Athol Road, Noble Park, Victoria |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on 27 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |