| Regimental number | 3007 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 'Percema', Cameron Street, Rockdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A. Atkins, 'Percema,' Cameron Street, Rockdale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Recommendations (Medals and Awards) |
Decoration Militaire Consistently valuable services, showing conspicuous courage and setting fine example. (East of Ypres). Recommendation date: |
| Fate | Effective abroad (still overseas) |