| Regimental number | *3822 |
| Place of birth | Westbury Tasmania |
| Religion | Church of England |
| Occupation | Polisher |
| Address | 52 Balfour Street, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Jordan, 52 Balfour Street, Launceston, Tasmania |
| Previous military service | 92nd Infantry |
| Enlistment date | 25 March 1915 |
| Date of enlistment from Nominal Roll | 29 March 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section C |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 25 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
