| Regimental number | 803 |
| Place of birth | Camperdown Victoria |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | 140 St Leonards Road, Ascot Vale, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs S J Matthews, 140 St Leonards Road, Ascot Vale, Victoria |
| Enlistment date | 5 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 15 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Regimental number from Nominal Roll | 803A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 21 June 1919 |