| Regimental number | 685O |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 77 Flemington Road, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs S J Ewen, 77 Flemington Road, North Melbourne, Victoria |
| Enlistment date | 21 October 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
