| Regimental number | 1764 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Greenbushes, South Western Railway, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Hall, Greenbushes, South Western Railway, Western Australia |
| Enlistment date | 6 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 2 January 1919 |
