| Regimental number | 6525 |
| Place of birth | Colac Victoria |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Fern Acres, Alma Road, East St Kilda, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs B Jancock, Fern Acres, Alma Road, East St Kilda, Melbourne, Victoria |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Bombardier |
| Unit name | Field Artillery Brigade 4, Battery 11 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia 29 August 1918 |
