| Regimental number | 69281 |
| Place of birth | Geelong Vic |
| Religion | Methodist |
| Occupation | Mill hand |
| Address | 5 Summer Street, East Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E C Hirst, 5 Summer Street, East Geelong, Victoria |
| Enlistment date | 29 April 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
