| Regimental number | 6574 |
| Place of birth | Geelong Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 14 Beard Street, Ballarat North, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E J Niblett, 14 Beard Street, Ballarat North, Victoria |
| Enlistment date | 22 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 12 June 1919 |