| Regimental number | 417 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Sawmill hand |
| Address | 26 Finch Street, East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs P Hatwell, 26 Finch Street, East Malvern, Victoria |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 6 |
| AWM Embarkation Roll number | 24/20/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Regimental number from Nominal Roll | 417A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 12 July 1919 |
