| Regimental number | 7103 |
| Place of birth | Allora Queensland |
| Religion | Church of England |
| Occupation | Police constable |
| Address | Main Avenue, Windsor, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Beavis, Main Avenue, Windsor, Brisbane, Queensland |
| Enlistment date | 27 October 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Fate | No details of fate entered on Nominal Roll |
