| Regimental number | 1080 |
| Place of birth | St Kilda Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A11 Ascanius on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |