| Regimental number | 1640 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Striker |
| Address | Railway Terrace, West Guildford, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Emily Elizabeth Dobson, Railway Terrace, West Guildford, Western Australia |
| Enlistment date | 6 February 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A29 Suevic on 6 June 1916 |
