| Regimental number | 4747 |
| Place of birth | Kew Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Jessie Kirby, 50 Gladstone Street, Kew, Melbourne, Victoria |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 10 March 1918 |
