| Regimental number | 4679 |
| Place of birth | Lara Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Lara, Victoria |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs J P Jenkins, Lara, Victoria |
| Enlistment date | 9 August 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 23 June 1919 |
