| Regimental number | 1045 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 52 Forsyth Street, Glebe Point, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, D Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Fate | No details of fate entered on Nominal Roll |