| Regimental number | 6627 |
| Place of birth | Hawthorn Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 59 Odessa Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, M Simpson, 24 Earle Street, Windsor, Victoria |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 27 August 1917 |
