| Regimental number | 4103 |
| Place of birth | Shipley England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Springvale Road, Springvale, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Florence Wallace, 60 Hay Street, Derby, England |
| Enlistment date | 11 November 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 13 February 1917 |
