| Regimental number | 4574 |
| Place of birth | Collingwood Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 162 Holden Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs E Douglas, 31 Emerald Street, Collingwood, Victoria |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 21 April 1918 |
