| Regimental number | 2441 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 13 Cambridge Street, Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Hilda Jefferys, 201 Barkly Street, East Brunswick, Victoria |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
