| Regimental number | 5774 |
| Place of birth | Swan Hill Victoria |
| Religion | Church of England |
| Occupation | Traveller's assistant |
| Address | 'Whitby', Devonshire Street, Chatswood, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Agnes Mitchell, 'Whitby,' Devonshire Street, Chatswood, Sydney, New South Wales |
| Enlistment date | 23 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 24 December 1918 |