| Regimental number | 1621 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Old Beach near Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Mollineaux, Old Beach near Hobart, Tasmania |
| Enlistment date | 7 December 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 4 June 1919 |