| Regimental number | 3993 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Plasterer |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M J Mason, Main Road, Moonah, Tasmania |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Regimental number from Nominal Roll | 3993A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Corps Headquarters |
| Fate | Returned to Australia 11 May 1919 |
