| Regimental number | 1378 |
| Religion | Church of England |
| Occupation | Barman |
| Address | Levy Street, Chippendale, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Dickenson, Levy Street, Chippendale, Sydney, New South Wales |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |