| Regimental number | 11203 |
| Religion | Presbyterian |
| Occupation | Turner and fitter |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M I E Eastgates, 4 Bayswater Street, Kensington, Victoria |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Mechanic |
| Unit name | 3rd Division Ambulance Workshop |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
