| Regimental number | 5080 |
| Place of birth | East Melbourne, Victoria |
| Religion | Baptist |
| Occupation | Turner and fitter |
| Address | 1lO Hall Street, Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M Densham, 110 Hall Street, Newport, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Army Service Corps |
| Fate | Effective abroad (still overseas) |