| Regimental number | 3869 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Miss Alice McClifford, care or C W Murray, High Street, Kyneton, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Friend, Mrs C Hall, 111 Barry Street, Carlton, Victoria |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 4 May 1917 |
