| Regimental number | 1895 |
| Place of birth | Christchurch, New Zealand |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brim PO, Brim, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Elizabeth Church, 36 King William Street, Fitzroy, Victoria |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 10 June 1918 |
