| Regimental number | 4849 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o Ballarat Orphanage, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs 1 Greaves, C/o Ballarat Orphanage, Ballarat, Victoria |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
