| Regimental number | 3775 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs F Hosmer, 22 Hardings Street, Coburg, Victoria |
| Enlistment date | 19 November 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 9 December 1918 |