| Regimental number | 19991 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Boot trade |
| Address | Oakleigh, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Mary Nelli Grove, 'Burnett', Atherton Road, Oakleigh, Victoria |
| Enlistment date | 19 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Troop Company Engineers |
| Fate | Returned to Australia 22 August 1919 |