| Regimental number | 5633 |
| Religion | Salvation Army |
| Occupation | Carpenter |
| Address | Lynne, Korumburra, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Sarah Lilico, Lynne, Korumburra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Recommendations (Medals and Awards) |
Military Medal 'Work near Broodseinde on 9 October 1917.' Recommendation date: |
| Fate | No details of fate entered on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |