| Regimental number | 3035 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Edithburg, Yp, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, J Rose, Edithburg, Yp, South Australia |
| Enlistment date | 15 June 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 14 September 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 1 February 1918 |
