| Regimental number | 5621 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | 28 Chapel Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Elizabeth Longstaff, 28 Wellington Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Heidelberg Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
