| Regimental number | 816 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burren Junction, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs A Forsina, C/o Hubert Martin, 140 Foveaux Street, Surry Hills, New South Wales |
| Enlistment date | 20 December 1915 |
| Date of enlistment from Nominal Roll | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, C Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 8 April 1917 |
