| Regimental number | 21515 |
| Place of birth | Maryborough Victoria |
| Religion | Church of England |
| Occupation | Watchmaker |
| Address | Black Rock, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Agnes Grant McDonald, 'Cornubia', Bayview Crescent, Black Rock, Victoria |
| Enlistment date | 29 October 1917 |
| Date of enlistment from Nominal Roll | 29 October 1917 |
| Rank on enlistment | Sapper |
| Unit name | Signallers, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 18 July 1919 |