| Regimental number | 8012 |
| Place of birth | New Norfolk Tasmania |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Back River, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs L Poulter, Back River, Tasmania |
| Enlistment date | 6 November 1917 |
| Date of enlistment from Nominal Roll | 3 November 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 27th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 18 July 1919 |
