| Regimental number | 3990 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 658 Harris Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | friend, 658 Harris Street, Sydney, New South Wales |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Regimental number from Nominal Roll | 3990A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 17 October 1916 |
