| Regimental number | 5412 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Bricklayer |
| Address | 240 Adams Road, Quarry Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Jenkins, 240 Adams Road, Quarry Hill, Victoria |
| Enlistment date | 26 February 1916 |
| Date of enlistment from Nominal Roll | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |