| Regimental number | 11722 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 72 York Street, Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J. Farmer, same address |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
