| Regimental number | 62624 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Student |
| Address | Toorak, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Lloyd, Alexander Avenue, Toorak, South Australia |
| Enlistment date | 28 July 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service 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 |
| Fate | No details of fate entered on Nominal Roll |
