| Regimental number | 5125 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Oakey Park PO, Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M A M Osborne, 31 Munne Street, Newtown, New South Wales |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 31 March 1919 |