| Regimental number | 375 |
| Place of birth | Cobram Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Cobram, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Gladys May Maple, Cobram, Victoria |
| Previous military service | 15th ALH |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 4 |
| AWM Embarkation Roll number | 24/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |