| Regimental number | 4774 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs F Durham, Mitchell, Queensland |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
