| Regimental number | 55170 |
| Place of birth | Kent England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kilmore, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs P E Jamieson, 'Ollivetta', Olive Street, Caulfield, Victoria |
| Enlistment date | 1 January 1917 |
| Rank on enlistment | Private |
| Unit name | 5th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 21 December 1918 |