| Regimental number | 623 |
| Religion | Methodist |
| Occupation | Railway clerk |
| Address | c/o Mrs E J Martin, Rubiana Summer Street, Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E J Martin, Rubiana Summer Street, Orange, New South Wales |
| Enlistment date | 16 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, B Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 28 January 1916 |
