| Regimental number | 4806 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Alice Fountain, 22 Argyle Street, St Kilda, Victoria |
| Enlistment date | 23 April 1917 |
| Date of enlistment from Nominal Roll | 16 April 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 11 January 1918 |
