| Regimental number | 6503 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Waratah, Tasmania |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs J Grahame, Drummond Street, Carlton, Victoria |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 28 August 1919 |
