| Regimental number | 639 |
| Place of birth | Nugent Tas |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Parkville, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mrs I Robin, Parkville, Victoria |
| Enlistment date | 29 January 1915 |
| Date of enlistment from Nominal Roll | 29 April 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 5 April 1918 |