| Regimental number | 2558 |
| Place of birth | Singleton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bralga, Glennies Creek, Singleton, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Andrews, Gralga, Glennies Creek, Singleton, New South Wales |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
