| Regimental number | 2376 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Rosebank via Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Guardian, George Frederick Martin, Rosebank via Lismore, New South Wales |
| Enlistment date | 21 December 1915 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Regimental number from Nominal Roll | 2376A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 23 June 1919 |
