| Regimental number | 5764 |
| Place of birth | Stoke Under Ham England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Outtrim, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, Mr T Alger, Outtrim PO, South Gippsland, Victoria |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 10 December 1918 |
