| Regimental number | 4543 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Barber |
| Address | Angaston, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Nellie Mathews, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 50th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 15 Date: |
| Date of death |