| Regimental number | 4841 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 29 Bedford Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Maynard, 29 Bedford Street, Collingwood, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 July 1919 |