| Regimental number | 5571 |
| Place of birth | Wandin Victoria |
| Religion | Church of England |
| Occupation | Bacon curer |
| Address | c/o R Brooks, East Burwood |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E Jenner, c/o R Brooks, East Burwood |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 11 |
| AWM Embarkation Roll number | 13/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 12 April 1919 |