| Regimental number | 804 |
| Place of birth | Christchurch, New Zealand |
| Religion | Church of Christ |
| Occupation | Carrier |
| Address | 97 Pigdon Street, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M E McKenzie, c/o Mrs Walsh, 34 Moreland Road, East Brunswick, Victoria |
| Enlistment date | 17 July 1917 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 15 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 6 September 1919 |
