| Regimental number | R6647 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ventnor, Mozart Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss 0 Gault, Ventnor, Mozart Street, St Kilda, Victoria |
| Enlistment date | 12 July 1915 |
| Date of enlistment from Nominal Roll | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Regimental number from Nominal Roll | 3286 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 10 January 1918 |