| Regimental number | 4630 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | Payneham, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Agnes Pitkin, George Street, Payneham, South Australia |
| Previous military service | 79th Infantry |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Regimental number from Nominal Roll | 4630A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 19 June 1919 |