| Regimental number | 5249 |
| Place of birth | St Kilda Victoria |
| Religion | Church of England |
| Occupation | Cooper |
| Address | 29 Nelson Street, Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs K Ross, 29 Nelson Street, Balaclava, Victoria |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 21 April 1918 |
