| Regimental number | 6254 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Peoples Palace, King Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs C Quested The Firs, Cheriton, Kent, England |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
