| Regimental number | 5976 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 62 Nightingale Street, Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Aunt, Mrs E Beryl, 62 Nightingale Street, Balaclava, Victoria |
| Enlistment date | 24 July 1916 |
| Date of enlistment from Nominal Roll | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 6 April 1917 |