| Regimental number | 4834 |
| Place of birth | Gerildgambeth New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 77 Glenmore Road, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Miss S E Lord, Glenmore Road, Paddington, Sydney, New South Wales |
| Enlistment date | 11 September 1915 |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 20 December 1918 |
