| Regimental number | 5665 |
| Place of birth | Lilydale Tasmania |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Sidmouth, Tasmania |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Brother, Mrs W Kelb, Sidmouth, Tasmania |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A49 Seang Choon on 8 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 17 July 1916 |
