| Regimental number | 22106 |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Dickenson, 96 Bond Street, Mt Pleasant, Ballarat, Victoria |
| Enlistment date | 30 April 1915 |
| Rank on enlistment | Corporal |
| Unit name | Howitzer Brigade 23, Battery 108 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
