| Regimental number | 759 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 40 Liverpool Road, Ashfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Annie Proctor, 40 Liverpool Road, Ashfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | INF23.112.4CB |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |