| Regimental number | 3213 |
| Place of birth | Hurstville New South Wales |
| Religion | Church of England |
| Occupation | Boot operator |
| Address | Marina Street, Arncliffe, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs C Norman, Marina Street, Arncliffe, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 13 February 1917 |