| Regimental number | 67619 |
| Place of birth | Toronto New South Wales |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | Toronto, Lake Macquarie, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, S Denny, Toronto, Lake Macquarie, New South Wales |
| Previous military service | 2nd Battalion 2nd Infantry |
| Enlistment date | 14 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 26 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
