| Regimental number | 5142 |
| Place of birth | Braidwood New South Wales |
| Religion | Methodist |
| Occupation | Grocer |
| Address | West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. C. Mellen, Lucknow, via Orange, New South Wales |
| Enlistment date | 12 January 1916 |
| Date of enlistment from Nominal Roll | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 17 March 1917 |