| Regimental number | 4869 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Cabbage Street Creek near Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Daniel, Middle Park, Victoria |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
