| Regimental number | 803 |
| Place of birth | Northcote, Victoria |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | WA Bank, Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | H Dickson, WA Bank, Bunbury, Western Australia |
| Enlistment date | 31 August 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, G Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
