| Regimental number | 5657 |
| Place of birth | Palghat India |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 164 Punt Road, Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Lilian May Needham C/o Mrs H J Tait, St Georges Road, Northcote, Victoria |
| Enlistment date | 27 April 1916 |
| Date of enlistment from Nominal Roll | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 21 December 1917 |
