| Regimental number | 3417 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 Duke Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs Perry, 7 Duke Street, Richmond, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 13 February 1917 |
