| Regimental number | 3640 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Classer |
| Address | East Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E M Hampson, 92 Puckle Street, Moonee Ponds, Victoria |
| Enlistment date | 3 July 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 6 January 1919 |
