| Regimental number | 1396 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Julia Dixon, Wales |
| Enlistment date | 21 October 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 10 June 1915 |
