| Regimental number | 51663 |
| Place of birth | Wahgunyah Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 202 Powlett Street, East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, P Norman, High Street, Echuca, Victoria |
| Enlistment date | 1 March 1918 |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 20 July 1919 |
