| Regimental number | 15 |
| Place of birth | St Arnaud, Victoria |
| Religion | Church of England |
| Occupation | Groom |
| Address | c/o Mrs A Bloom, Main Street, Bealiba |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Laura Violet Scott, c/o Mrs A Bloom, Main Street, Bealiba |
| Enlistment date | 13 February 1915 |
| Rank on enlistment | Private |
| Unit name | Brigade 6, Headquarters |
| AWM Embarkation Roll number | 23/6/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Regimental number from Nominal Roll | 1276 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 17 March 1915 |
