| Regimental number | 1608 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | c/o Mrs Grade, 15 Davis Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Vera Sim, c/o Mrs Grade, 15 Davis Street, Brunswick, Victoria |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 20 November 1918 |
