| Regimental number | 4496 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 3 Gertrude Street, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss H M Goodwin, 3 Gertrude Street, Windsor, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 8 May 1919 |
