| Regimental number | 57597 |
| Place of birth | Devonshire England |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Ann Street, East Bundaberg, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A M Dymond, Ann Street, East Bundaberg, Queensland |
| Enlistment date | 12 February 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | crossed out on NR |