| Regimental number | 6669 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Club steward |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M E Beckett, 13 Moir Street, Perth, Western Australia |
| Enlistment date | 30 November 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 10 March 1918 |