| Regimental number | 10499 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 338 Pigdon Street, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Beavis, 338 Pigdon Street, North Carlton, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 13 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Divisional Artillery Headquarters |
| Fate | Returned to Australia 10 July 1916 |