| Regimental number | 5411 |
| Place of birth | India |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 27 John Street, East Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, E Scarlet, 27 John Street, East Ballarat, Victoria |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 25 September 1917 |
