| Regimental number | 3099 |
| Place of birth | Brookside Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Glenwills, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Susan Martin, Porpunkah, Victoria |
| Enlistment date | 10 November 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/54/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 24 July 1919 |
