| Regimental number | 3515 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M Funch, Carew Street, Katanning, Katanning, Western Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 3 March 1919 |
