| Regimental number | 4184 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | 'Timaru', Northcote Street, St Leonards, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs M Page, Braidwood, New South Wales |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 21 July 1917 |
