| Regimental number | 6573 |
| Place of birth | Port Pirie South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Pirie West, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H Price, 3rd Street, Port Pirie West, South Australia |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
