| Regimental number | 2108 |
| Place of birth | Coleford England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Folly House, Coledale, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Emily Ballinger, Folly House, Coledale, New South Wales |
| Enlistment date | 10 May 1915 |
| Date of enlistment from Nominal Roll | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 8 May 1916 |
