| Regimental number | 4527 |
| Place of birth | Broomfield Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wolfram Street, off Chloride Street, Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs N Mounsey, Wolfram Street, off Chloride Street, Broken Hill, New South Wales |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 12 May 1919 |
