| Regimental number | 12183 |
| Place of birth | Serviceton Victoria |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | Serviceton, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Penny, Serviceton, Victoria |
| Enlistment date | 3 September 1915 |
| Date of enlistment from Nominal Roll | 25 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 3 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 21 April 1918 |
