| Regimental number | 4904 |
| Place of birth | Deniliquin New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 200 Coventry Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs W Robertson, 200 Coventry Street, South Melbourne, Victoria |
| Enlistment date | 21 September 1915 |
| Date of enlistment from Nominal Roll | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 17 March 1917 |
