| Regimental number | 2643 |
| Place of birth | Williamstown Victoria |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 50 Maude Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, Mrs Marriott Barclay, 50 Maude Street, Geelong, Victoria |
| Enlistment date | 17 December 1917 |
| Rank on enlistment | Private |
| Unit name | January 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Aust BGRDC |
| Fate | Returned to Australia 25 September 1919 |