| Regimental number | 4617 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Ballantyne's Loose Bag, Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Foster Mother, Nellie Ballantyne, Benalla, Victoria |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
