| Regimental number | 3997 |
| Religion | Church of England |
| Occupation | Waiter |
| Address | Commonwealth Savings Bank, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Miss E Howard, 12 Portman Square, London, England |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |
