| Regimental number | 6501 |
| Place of birth | Warrenbaine Victoria |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Baddaginnie, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
| Date of death | |
| Place of burial | Springvale Cemetery |