| Regimental number | 5595 |
| Place of birth | Maldon Victoria |
| Religion | Baptist |
| Occupation | Warehouseman |
| Address | Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Lydia Jewell, Kenilworth Road, Parkside, South Australia |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 4 June 1919 |