| Regimental number | 2788 |
| Place of birth | Port Fairy Vic |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Elsie May Hellyar, 1 Hanover Street, Windsor, Victoria |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 31 January 1918 |
