| Regimental number | 5366 |
| Place of birth | Bendigo B |
| Religion | Church of England |
| Occupation | Cigar maker |
| Address | 5 Gray Street, Kogarah, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Esther Kimpton, 5 Gray Street, Kogarah, New South Wales |
| Enlistment date | 12 March 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 17 March 1917 |
