| Regimental number | 4736 |
| Religion | Methodist |
| Occupation | Driver |
| Address | King Street, Alberton, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Alice Mary Kellog, King Street, Alberton, South Australia |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 15 December 1918 |
