| Regimental number | 3766A |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Eliz Ethel Maillard, 251 Stirling Street, Perth, Western Australia |
| Enlistment date | 24 August 1915 |
| Date of enlistment from Nominal Roll | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Regimental number from Nominal Roll | 3766 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 26 September 1917 |