| Regimental number | 4004 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Insurance inspector |
| Address | Eureka Hotel, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ivy Matilda Balme, 4 George Street, East Melbourne, Victoria |
| Enlistment date | 21 June 1916 |
| Date of enlistment from Nominal Roll | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 5 July 1919 |
