| Regimental number | 4762 |
| Place of birth | Hamilton Victoria |
| Religion | Church of England |
| Occupation | Groom |
| Address | Thorpdale, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Grace Evelyn Merifield, Strathmerton, Victoria |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 17 March 1919 |
