| Regimental number | 4O84 |
| Religion | Protestant |
| Occupation | Driver |
| Address | 4 Smith Street, North Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Hubert, 4 Smith Street, North Richmond, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Fate | No details of fate entered on Nominal Roll |