| Regimental number | 4496 |
| Place of birth | Nugent Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M J Freeman, GPO, Hobart, Tasmania |
| Enlistment date | 8 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 22 January 1917 |