| Regimental number | 3475 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 1 Otter Street, Collingwood, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Emily Betts, 1 Otter Street, Collingwood, Melbourne, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 4 June 1919 |
