| Regimental number | 6317 |
| Place of birth | Chiltern Victoria |
| Religion | Church of England |
| Occupation | Slaughterman |
| Address | 20 Ascot Street, South Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A C Mellor, 20 Ascot Street, South Ballarat, Victoria |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 18 January 1919 |
