| Regimental number | 3687 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Argent Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Aunt, Mrs E Brook, c/o Mr Firth, Dentist, Argent Street, Broken Hill, New South Wales |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 17 October 1916 |
