| Regimental number | 6940A |
| Place of birth | Birmingham, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, C W Block, 43 St Vincents Place, Albert Park, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |