| Regimental number | 5586 |
| Religion | Church of England |
| Occupation | Tallor |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Way, Northam, Western Australia |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
