| Regimental number | 2059 |
| Place of birth | Seymour Victoria |
| Address | Wedderburn Junction, Wedderburn, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, D Company |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | a PROV C |
| Fate | Returned to Australia |