| Regimental number | 4216 |
| Place of birth | Port Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Narrogin, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss B Robin, Pengelly, Western Australia |
| Enlistment date | 10 December 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Trench Mortar Battery |
| Fate | Returned to Australia 13 April 1919 |
