| Regimental number | 1412 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Emily Ross,103 Wattle Street, Bendigo, Victoria |
| Enlistment date | 22 October 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Regimental number from Nominal Roll | 1278 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 20 December 1917 |
