| Regimental number | 28047 |
| Place of birth | Guilfield Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 16 Arthur Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs R J Prentice, 16 Arthur Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 15 June 1916 |
| Date of enlistment from Nominal Roll | 7 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 4, Reinforcement 7 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 2 June 1919 |
