| Regimental number | 4503 |
| Place of birth | Mitcham N/A |
| Religion | Church of England |
| Occupation | Potter |
| Address | 54 Pearson Street, West Brunswick, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Mynott, 54 Pearson Street, West Brunswick, Melbourne, Victoria |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 26 December 1916 |
