| Regimental number | 1025 |
| Place of birth | Homebush New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Loma', Parramatta Road, Homebush, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M E Doutty, 'Loma', Parramatta Road, Homebush, New South Wales |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
