| Regimental number | 1363 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Driver |
| Address | 23 Princess Terrace, St Kilda Road, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Mary Hastain, 23 Princess Terrace, St Kilda road, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | COLOUR SGT |
| Unit name | 14th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 14th Battalion |
| Promotions |
2nd Lieutenant Unit: INF14 Promotion date: |
| Fate | Returned to Australia |