| Regimental number | 3464 |
| Place of birth | Minety England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Clara Kate Scriven, 32 Ivan Street, North Fitzroy, Victoria |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 12 May 1918 |