| Regimental number | 4121 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Baker |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Katerine Docherty, Gowrie Street, Toowoomba, Queensland |
| Enlistment date | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |