| Regimental number | 4258 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Rush workman |
| Address | 43 Joizlan Street, Caumerwell, London, England |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs D Wyatt, 43 Joizlan Street, Caumerwell, London, England |
| Enlistment date | 19 April 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Cyclists' Battalion |
| Fate | Returned to Australia 4 June 1919 |
