| Regimental number | 4809 |
| Place of birth | Carlton Victoria |
| Religion | Methodist |
| Occupation | Tailor |
| Address | 20 West Terrace, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs P Pennington, 799 Drummond Street, Carlton, Victoria |
| Enlistment date | 25 October 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 10 September 1917 |