| Regimental number | 5384 |
| Place of birth | Chippendale New South Wales |
| Religion | Methodist |
| Occupation | Stiker |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Justins, Hassell Street, Katanning, Western Australia |
| Enlistment date | 7 March 1916 |
| Date of enlistment from Nominal Roll | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 16 January 1919 |
