| Regimental number | 3694 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Draper |
| Address | Park Terrace, Parkside, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs L Birks, Park Terrace, Parkside, Adelaide, South Australia |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 1 February 1918 |
