| Regimental number | 55421 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 122 Gamon Street, Yarraville, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs F Massey, 122 Gamon Street, Yarraville, Victoria |
| Previous military service | 65th Infantry |
| Enlistment date | 23 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 13 December 1918 |
