| Regimental number | 4200 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Dairy farmer |
| Address | Numeralla, Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M C Hanscombe, Numeralla, Bega, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 12 March 1918 |