| Regimental number | 5036 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Driver |
| Address | 165 Palmerston Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Margaret Lena Jukes, 165 Palmerston Street, Carlton, Melbourne, Victoria |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 9 March 1919 |
