| Regimental number | 3753 |
| Place of birth | Kurrajong New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | P.O. Ingleburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, W J Seymour, Lngleburn, New South Wales |
| Enlistment date | 30 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
