| Regimental number | 3620 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Fremantle PO, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Ida Kelly, Geraldton, Western Australia |
| Enlistment date | 12 October 1915 |
| Date of enlistment from Nominal Roll | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 4 June 1919 |