| Regimental number | 1430 |
| Place of birth | Tarrumbarry Victoria |
| Religion | Methodist |
| Occupation | Painter |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Margaret Scott, Kangaroo Flat, Bendigo, Victoria |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 11 May 1919 |
