| Regimental number | 3412 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Telephonist |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs J Martin, Hetherington Street, Hertson Estate, Brisbane, Queensland |
| Enlistment date | 22 May 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 21 December 1917 |
