| Regimental number | 3709 |
| Place of birth | Moonee Ponds Victoria |
| Religion | Methodist |
| Occupation | Cooper |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs G C Patrick, 85 Rankins Road, Kensington, Victoria |
| Enlistment date | 7 December 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 22 December 1918 |
