| Regimental number | 4229 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Printer |
| Address | Parramatta Road, Concord, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Southwell, Parramatta Road, Concord, New South Wales |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 21 December 1918 |
