| Regimental number | 6186 |
| Place of birth | North Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 18 Walter Street, Leichhardt, New South Wales |
| Marital status | Widower |
| Age at embarkation | 25 |
| Next of kin | Mother-in-Law, Mrs Elizabeth Beernaert, Walter Street, Leichhardt, New South Wales |
| Enlistment date | 14 March 1916 |
| Date of enlistment from Nominal Roll | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 31 January 1918 |
