| Regimental number | 802 |
| Place of birth | Bendigo Victoria |
| Religion | Presbyterian |
| Occupation | Cleaner |
| Address | 51 Shackle Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs A Kennedy, 51 Shackle Street, Coburg, Victoria |
| Enlistment date | 19 June 1917 |
| 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 | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 9 July 1919 |