| Regimental number | 6875A |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss E M Punch, c/o Grand Hotel, Spring Street, Melbourne, Victoria |
| Enlistment date | 9 August 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 3 January 1919 |
