| Regimental number | 4210 |
| Place of birth | Yan Yean Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Whittlesea, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Hall, Whittlesea, Victoria |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 21 January 1919 |
