| Regimental number | 2160 |
| Place of birth | Koo Wee Rup Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 11 Cowper Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Folwell, 11 Cowper Street, Footscray, Victoria |
| Enlistment date | 29 April 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 7 June 1918 |
