| Regimental number | 4279 |
| Place of birth | Clunes Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Merridan, Western Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, W Kerr, Leake Street, Bayswater, Western Australia |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on 29 January 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 22 July 1917 |