| Regimental number | 428 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | Montpelier Street, Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs J Jervis, 5 Montpelier Street, Parkside, South Australia |
| Enlistment date | 25 August 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, G Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 4 August 1915 |
