| Regimental number | 4788 |
| Place of birth | Bowden South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hart Street, Glanville, South Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E N Groves, Hart Street, Glanville, South Australia |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Artillery |
| Fate | Returned to Australia 12 May 1919 |
