| Regimental number | 55447 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Fireman |
| Address | 14 Wild Street, North Preston, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs L Rose, 14 Wild Street, North Preston, Victoria |
| Enlistment date | 18 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 22 July 1919 |
