| Regimental number | 3083 |
| Place of birth | Reedy Creek Mines South Australia |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Gore Street, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss C Polglase, Gore Street, Glenelg, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Killed in Action |
| Place of burial | Serre Road Cemetery No. 2 (Plot XXII, Row D, Grave No. II), France |
| Panel number, Roll of Honour, Australian War Memorial | 60 |