| Regimental number | 1045 |
| Place of birth | Masterton, New Zealand |
| Religion | Church of England |
| Occupation | Tailor |
| Address | North Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs G Dixon, 68 Power Street, North Williamstown, Victoria |
| Enlistment date | 8 November 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
