| Regimental number | 4564 |
| Place of birth | Hillend New South Wales |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Methodist Parsonage, Oberon, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Williams, Methodist Parsonage, Oberon, New South Wales |
| Enlistment date | 3 March 1915 |
| Rank on enlistment | Acting Lance Sergeant |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| 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 |
