| Regimental number | 4122 |
| Place of birth | Charlton Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 246 Nicholson Street, Abbotsford, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Esther Howard, 246 Nicholson Street, Abbotsford, Victoria |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 17 March 1917 |
