| Regimental number | 28964 |
| Place of birth | Waratah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o D Batchelor, Cooloongolook, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Herivel, c/o D Batchelor, Coolongolook, New South Wales |
| Enlistment date | 19 May 1916 |
| Date of enlistment from Nominal Roll | 2 June 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st DTMB |
| Fate | Returned to Australia 12 April 1919 |
