| Regimental number | 3873 |
| Religion | Church of England |
| Occupation | Picture framer |
| Address | 5 Laman Street, Coots Hill, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs R M Mitchell, Hopewell, Walker Avenue, Paddington, New South Wales |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 18 January 1919 |
