| Regimental number | 2223 |
| Place of birth | Werribee Victoria |
| Religion | Methodist |
| Occupation | Groom |
| Address | Stratford, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Miss B E Shiell, Dixon Street, Stratford, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |