| Regimental number | 3499 |
| Place of birth | Traralgon Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pakenham, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Friend, Mrs Sheppard, Pakenham, Victoria |
| Enlistment date | 12 July 1915 |
| Date of enlistment from Nominal Roll | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 22 July 1917 |
