| Regimental number | 4300 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Urch Street, Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife |
| Enlistment date | 11 September 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on 29 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 13 April 1919 |
