| Regimental number | 3776 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Barber |
| Address | 406 Brunswick Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs L Atkins, Jolimont, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Regimental number from Nominal Roll | 3776A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 17 March 1917 |