| Regimental number | 4736 |
| Place of birth | Auckland New Zealand |
| Religion | Church of England |
| Occupation | Chef |
| Address | 125 Flinders Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Kathleen Hampton, 125 Flinders Street, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 4 November 1915 |
| Date of enlistment from Nominal Roll | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 13 February 1917 |
