| Regimental number | 266 |
| Religion | Church of England |
| Occupation | Teacher |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Dickinson, 96 Bond Street, Mount Pleasant, Ballarat East, Victoria |
| Previous military service | 70th Infantry |
| Enlistment date | 30 April 1915 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Miscellaneous details (Nominal Roll) | see other |
