| Regimental number | 3002 |
| Religion | Church of England |
| Occupation | Mechanical dentist |
| Address | 29 Wycombe Road, Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M J Atkins, 29 Wycombe Road, Neutral Bay, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |