| Regimental number | 1822 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Tantaraboo via Kilmore, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Elizabeth Fields, Tantaraboo via Kilmore, Victoria |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
