| Regimental number | 5430 |
| Place of birth | Toorac Victoria |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Daylesford, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Miss Susie Poulter, 16 Carlisle Street, Balaclava, Victoria |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 4 March 1917 |
