| Regimental number | 2684 |
| Place of birth | Merthyr Tydfil Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Pingelly, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, S. Dix, Sandy Farm, Merthyr Ty'dvil, Wales |
| Enlistment date | 7 September 1914 |
| Rank on enlistment | Private |
| Unit name | Depot Unit of Supply 2, Army Service Corps 11 |
| AWM Embarkation Roll number | 25/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
