| Regimental number | 67818 |
| Place of birth | Berkshire England |
| Religion | Church of England |
| Occupation | Barman |
| Address | Royal Hotel, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss F Ansell, 7 Harold Street, Upper Norwood, London, SE, E |
| Enlistment date | 17 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
