| Regimental number | 2629 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kellerberrin, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Nellie Denis, Mount Pleasant Grove, Annandale, Victoria |
| Enlistment date | 22 June 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on 2 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 17 March 1917 |
