| Regimental number | 5657 |
| Place of birth | Richmond Victoria |
| Religion | CC |
| Occupation | Upholsterer |
| Address | 74 Rathmine Road, Auburn, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Amelia G Pagram, 74 Rahtmines Road, Auburn, Victoria |
| Enlistment date | 1 May 1916 |
| Date of enlistment from Nominal Roll | 1 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 21 April 1918 |
