| Regimental number | 6964 |
| Place of birth | Euroa Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 1 Sedgman Street, East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs A Lang, 1 Sedgman Street, East Brunswick, Victoria |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 4, Ammunition Column |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 2 March 1919 |
