| Regimental number | 6047 |
| Place of birth | N/A Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bate Street, Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs E Yates, Bate Street, Portland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |