| Regimental number | 6289 |
| Place of birth | N/A New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | 160 Ryan Street, East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs L J Jewell, Brunswick Post Office, Brunswick, Victoria |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 25 August 1917 |