| Regimental number | 1462 |
| Religion | Church of England |
| Occupation | Leather dresser |
| Address | Glenorchy, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Backhouse, Glenorchy, Tasmania |
| Enlistment date | 25 November 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital, 1st Reinforcement |
| AWM Embarkation Roll number | 26/102/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 25 February 1915 |
| Rank from Nominal Roll | Private |
| Miscellaneous details (Nominal Roll) | See other |