| Regimental number | 6783 |
| Place of birth | Healesville Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 247 Alfred Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Mrs M Kemp, 247 Alfred Street, North Sydney, New South Wales |
| Enlistment date | 21 July 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 18 January 1919 |