| Regimental number | 54861 |
| Place of birth | Canary Island, Victoria |
| Religion | Methodist |
| Occupation | Stock and station agent |
| Address | 416 Bourke Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs L Bear, Canary Island, Victoria |
| Enlistment date | 19 December 1917 |
| Rank on enlistment | Private |
| Unit name | 4th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 7 July 1919 |
