| Regimental number | 6541 |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Cr. Humffray And Oliver Streets, Ballarat East, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs. P. Kinnersley, Cr. Hummfray And Oliver Streets, Ballarat, Victoria |
| Enlistment date | 29 July 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 18 October 1917 |