| Regimental number | 4876 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 Adelaide Street, South Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs M Donaldson, 7 Adelaide Street, South Hobart, Tasmania |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 8 April 1917 |
