| Regimental number | 1563 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Packer |
| Address | GPO, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs A Ilsley, GPO, Melbourne, Victoria |
| Enlistment date | 17 December 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 5 July 1915 |