| Regimental number | 11828 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Steward Vr |
| Address | 65 Raliegh Street, Windsor, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs C.W. Martin, Black Flat Post Office, Glen Waverley, Victoria |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 7 June 1918 |
