| Regimental number | 3450 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Agnes Rainbow, 21 Alfred Street, South Melbourne, Victoria |
| Enlistment date | 5 March 1917 |
| Date of enlistment from Nominal Roll | 27 February 1917 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| 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 | 46th Battalion |
| Fate | Returned to Australia 11 January 1918 |
