| Regimental number | 4934 |
| Place of birth | Campbelltown Tasmania |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Wilmot Street, West Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A Jones, Wilmot Street, West Burnie, Tasmania |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 20 November 1918 |
