| Regimental number | 8030 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Baker |
| Address | Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Mountain St Leonards PO, St Leonards, Tasmania |
| Enlistment date | 18 October 1917 |
| Date of enlistment from Nominal Roll | 16 October 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 27th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 6 September 1919 |
