| Regimental number | 2139 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | High Street, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs C Fozard, High Street, Bendigo, Victoria |
| Enlistment date | 10 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 4 November 1915 |
