| Regimental number | 5617 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Bittern, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Harriette Jennings, 223 Cecil Street, South Melbourne, Victoria |
| Enlistment date | 29 March 1916 |
| Date of enlistment from Nominal Roll | 12 May 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 19 October 1917 |
