| Regimental number | 3691 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | West Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Victoria Mary Osborne, 5 Railway Terrace, Petersham, New South Wales |
| Enlistment date | 6 November 1916 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/71/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 23 June 1919 |
