| Regimental number | 5480 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Long Gully, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father |
| Enlistment date | 11 January 1916 |
| Date of enlistment from Nominal Roll | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 31 July 1918 |
