| Regimental number | 61628 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Vineyard labourer |
| Address | 38 McIlwrick Street, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss V M Irwin, 38 McIlwrick Street, Windsor, Victoria |
| Previous military service | 79th Infantry |
| Enlistment date | 8 June 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 8 September 1919 |
