| Regimental number | 4050 |
| Place of birth | Stony Creek Tasmania |
| Religion | Church of England |
| Occupation | Bricky |
| Address | 7 Parslow Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A Lord, 7 Parslow Street, Clifton Hill, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 23 September 1918 |
