| Regimental number | 5036 |
| Place of birth | Carisbrook, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moolort, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs B Rae, Moolort, Victoria |
| Enlistment date | 9 February 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF6REIN16 |
| Fate | Returned to Australia 12 May 1919 |
