| Regimental number | 5056 |
| Place of birth | Northcote Victoria |
| Religion | Methodist |
| Occupation | Cook |
| Address | South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss N Lever, 20 Albion Street, South Yarra, Victoria |
| Enlistment date | 8 October 1917 |
| Date of enlistment from Nominal Roll | 11 September 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 July 1919 |
