| Regimental number | 2191 |
| Place of birth | Footscray Victoria |
| Religion | Baptist |
| Occupation | Draper |
| Address | 75 Nelson Place, Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs O Maud Jewell, 75 Nelson Place, Williamstown, Melbourne, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 19 December 1918 |
