| Regimental number | 495 |
| Place of birth | Northcote Victoria |
| Religion | Church of England |
| Occupation | Saddler |
| Address | 33 Church Street, Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs A Rayner,33 Church Street, Brighton, Victoria |
| Enlistment date | 18 January 1915 |
| Date of enlistment from Nominal Roll | 14 January 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, B Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 13 February 1917 |
