| Regimental number | 3073 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Miss Fanny Edwards, 18 Dawson Place, Bayswater, London, England |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/56/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 10 March 1918 |
