| Regimental number | 10643 |
| Place of birth | Inverell Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Smythe Street, Benalla, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Agnes Matthews, Smythe Street, Benalla, Victoria |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Corporal |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 25 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 11 May 1919 |