| Regimental number | 3250 |
| Place of birth | Creswick, Victoria |
| Religion | Church of England |
| Occupation | Fender fitter |
| Address | 51 Langridge Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs E A Blake, 51 Langridge Street, Collingwood, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 21 May 1916 |
