| Regimental number | 21 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Florence Mary Melsom, 'Freemantle', Hill Street, Wooloowin, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Brigade 11, Headquarters |
| AWM Embarkation Roll number | 23/11/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |