| Regimental number | 469 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Day Dream Restaurant, Argent Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Annie Worthley, Day Dream Restaurant, Argent Street, Broken Hill, New South Wales |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, C Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |