| Regimental number | 6881A |
| Religion | Church of England |
| Occupation | Cook |
| Address | West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs L M Roberts, 53 Ireland Street, West Melbourne, Victoria |
| Enlistment date | 4 August 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
