| Regimental number | 5628 |
| Place of birth | Brighton, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 97 Manningtree Road, Glenferrie, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ada C Jennings, 80 Hellier Street, West Brunswick, Victoria |
| Previous military service | Nil |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Embarked from Sydney, 25 September 1916; disembarked Plymouth, England, 10 November 1916. Admitted to Parkhouse Hospital, 7 December 1916; discharged to duty, 6 February 1917. Marched in to No. 2 Command Depot, Weymouth, 14 April 1917. Commenced return to Australia on board HT 'Miltiades', 4 May 1917; discharged, 9 August 1917 (defective eyesight). Medal: British War Medal |
| Date of death |