| Regimental number | 867 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 29 Ringwood Road, Walthamstow, London, England |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, I Mathis, 29 Ringwood Road, Walthamstow, London, England |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, C Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
