| Regimental number | 3150 |
| Place of birth | Beaufort Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Waterloo, via Beuafort, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs T Jones, Waterloo, via Beaufort, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 23 August 1917 |