| Regimental number | 6769 |
| Place of birth | Clunes, Victoria |
| Religion | Methodist |
| Occupation | Engine fitter |
| Address | West Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mary Blanchard, 28 Harold Street, Thornbury, Victoria |
| Enlistment date | 20 February 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 20 November 1918 |
