| Regimental number | 3646 |
| Place of birth | Matlock England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mile End, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A D Dicken, 65 Chestnut Stret, East Richmond, Victoria |
| Enlistment date | 2 April 1916 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/63/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
