| Regimental number | 3791 |
| Place of birth | The Rock New South Wales |
| Religion | Church of England |
| Occupation | Metal ceiling mixer |
| Address | The Rock, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R. Martin, The Rock, New South Wales |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 5 March 1919 |
