| Regimental number | 4573 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 30 Prentice Street, West Brunswick, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Annie Matthews, 30 Prentice Street, West Brunswick, Melbourne, Victoria |
| Enlistment date | 31 December 1915 |
| Date of enlistment from Nominal Roll | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 5 July 1916 |
