| Regimental number | 4783 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 36 Byron Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Russ, 36 Byron Street, Footscray, Victoria |
| Enlistment date | 3 May 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 7 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Persia on 10 August 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 18 October 1917 |
