| Regimental number | 2783 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 35 Wellington Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Beatrice Wearne, 35 Wellington Street, Sydney, New South Wales |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
