| Regimental number | 32717 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 28 Burton Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs H Dixson, 28 Burton Street, North Sydney, New South Wales |
| Enlistment date | 7 December 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 6 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |