| Regimental number | 641 |
| Place of birth | Richmond Vic |
| Religion | Church of England |
| Occupation | Coachpainter |
| Address | 78 Gibdon Street, Burnley, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Gwen Howard, 78 Gibdon Street, Burnley, Victoria |
| Enlistment date | 21 January 1915 |
| Date of enlistment from Nominal Roll | 19 January 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 13 February 1917 |
