| Regimental number | 4167 |
| Place of birth | Kyneton Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Nurse Graces Martin, Alfred Hospital, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Marion Martin, 56 Grey Street, East Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Returned to Australia 10 July 1919 |
