| Regimental number | 69240 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | 391 St George's Road, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Bebb, 391 St George's Road, North Fitzroy, Victoria |
| Enlistment date | 26 August 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
