| Regimental number | 1963 |
| Place of birth | Bethanga Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 32 Sheffield Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emma Sarah Mallatt, 32 Sheffield Street, Coburg, Victoria |
| Enlistment date | 10 March 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 12 May 1918 |