| Regimental number | 17436 |
| Religion | Church of England |
| Occupation | News agent |
| Address | Williams Road, Hawksburn, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss Emily Blake, Portland, Victoria |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 2, Reinforcement 21 |
| AWM Embarkation Roll number | 22/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Army Corps Signal Company |
| Fate | Returned to Australia 23 July 1919 |