| Regimental number | 9058 |
| Place of birth | Brunswick Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Miss E Southey, Brunswick, Victoria |
| Enlistment date | 17 September 1915 |
| Date of enlistment from Nominal Roll | 15 September 1915 |
| Rank on enlistment | Driver |
| Unit name | 2nd Divisional Ammunition Column |
| AWM Embarkation Roll number | 25/90/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on 16 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 13 April 1919 |
