| Regimental number | 7039 |
| Place of birth | Rutherford England |
| Religion | Church of England |
| Occupation | Electrical linesman |
| Address | 23 Meury Street, Burnley, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A Kerwin, 39 Glass Street, Burnley, Victoria |
| Enlistment date | 14 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 15 April 1918 |
