| Regimental number | 5362 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 2 Barry Street, Seddon, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Annie M Livermoore, Cnr of Windsor And Errol Streets, Footscray, Victoria |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |