| Regimental number | 4058 |
| Religion | Methodist |
| Occupation | Ammunition worker |
| Address | 19 Buckley Street, Footscray, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Clara Scott, 19 Buckley Street, Footscray, Melbourne, Victoria |
| Enlistment date | 14 July 1915 |
| Date of enlistment from Nominal Roll | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 12 July 1919 |