| Regimental number | 4613 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Parliament Terrace, Arncliffe, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs. A.M. Fielding, Parliament Terrace, Arncliffe, Sydney, New South Wales |
| Enlistment date | 20 August 1915 |
| Date of enlistment from Nominal Roll | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 16 July 1917 |
