| Regimental number | 4415 |
| Place of birth | Melbourne Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 121 Hope Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Fo Si, Miss N Sutcliffe, 121 Hope Street, Brunswick, Victoria |
| Enlistment date | 27 October 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 30 April 1919 |