| Regimental number | 722 |
| Place of birth | Bridgenorth Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bridgenorth, Tasmania |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss Elouise Mitchelson, Bridgenorth, Tasmania |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 14 January 1917 |
