| Regimental number | 6049 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs F Lawrence, 46 Sheil Street, North Melbourne, Victoria |
| Enlistment date | 3 December 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Regimental number from Nominal Roll | 6049A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 22 August 1919 |
