| Regimental number | 1788 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 58 Nelson Road, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Wilhemina Erickson, 58 Nelson Road, South Melbourne, Victoria |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
