| Regimental number | 3992 |
| Place of birth | Flinders Island Tasmania |
| Religion | Church of England |
| Occupation | Driver |
| Address | Whitemark, Flinders Island, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Maynard, Whitemark, Flinders Island, Tasmania |
| Enlistment date | 17 June 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 11 April 1916 |
