| Regimental number | 62497 |
| Place of birth | Lyndock South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E J Farwell, 43 Airlie Avenue, Prospect, South Australia |
| Enlistment date | 4 June 1918 |
| Rank on enlistment | Private |
| Unit name | 5th South Australian Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |