| Regimental number | 3717 |
| Place of birth | Huntingdonshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs A Dollin, 20 Alma Cut, London Road, St Albans, England |
| Enlistment date | 23 January 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 8 January 1919 |
