| Regimental number | 627 |
| Religion | Church of England |
| Occupation | Ironworker's assistant |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Mary Blackwall, 7 Henniker Road, Stratford, Essex, England |
| Enlistment date | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 10 |
| AWM Embarkation Roll number | 24/14/3 |
| 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 | 33rd Battalion |
| Fate | Returned to Australia 23 September 1918 |
