| Regimental number | 6890 |
| Religion | Church of England |
| Occupation | Steward |
| Address | Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Mrs Anna Poolman, 179 Dow Street, Port Melbourne, Victoria |
| Enlistment date | 18 January 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 31 May 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry first did not match |