| Regimental number | 2009 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o Mrs W Miller, Second Street, Weston, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs L Sansom, 73 Jewel Road, Walthamstowe London, England |
| Enlistment date | 19 June 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Effective abroad (still overseas) |
