| Regimental number | 4627 |
| Place of birth | Waverley New South Wales |
| Religion | Church of England |
| Occupation | Printer |
| Address | 5 Isabella Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Short, 5 Isabella Street, Waverley, New South Wales |
| Enlistment date | 17 January 1915 |
| Date of enlistment from Nominal Roll | 11 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Regimental number from Nominal Roll | 4627A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 April 1919 |
