| Regimental number | 4403 |
| Place of birth | Rockhampton Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Deep Creek, Cedar Pocket, Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Elizageth Elliot, Deep Creek, Cedar Pocket, Gympie, Queensland |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A16 Star Of Victoria on 30 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |