| Regimental number | 2704 |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Patch PO via Belgrave, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs E Lane, Patch PO via Belgrave, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 27 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 18 January 1919 |
