| Regimental number | 1106 |
| Place of birth | Palmerston Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, B Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia |