| Regimental number | 67934 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Buchanan Street, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs R A Sault, Wickham PO, Wickham, New South Wales |
| Enlistment date | 4 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
