| Regimental number | 1938 |
| Place of birth | Deniliquin New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 24 Princess Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs A V Bottomley, 24 Princes Street, Prahran, Victoria |
| Enlistment date | 16 June 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 19 February 1919 |