| Regimental number | 4039 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Groom |
| Address | People's Palace, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Musty, 225A Block, Gusuess Buildings, Draycort Avenue, Chelsea, England |
| Enlistment date | 25 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 5 April 1919 |