
| Regimental number | 5401 |
| Place of birth | South Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 45 Nelson Street, Balaclava, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Hilda Lilian Polglase, 45 Nelson Street, Balaclava, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Ian Marr |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Colac Cemetery, Victoria |