| Regimental number | 69073 |
| Place of birth | Harcourt Victoria |
| Religion | Presbyterian |
| Occupation | Engine driver |
| Address | Edwards Street, Castlemaine, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs C Martin, Edwards Street, Castlemaine, Victoria |
| Enlistment date | 16 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |