| Regimental number | 3123 |
| Place of birth | Wareham England |
| Religion | Roman Catholic |
| Occupation | Electrician |
| Address | 354 Victoria Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Randall, Ringstead Parkwood Road, Bascombe Bowmanwuth Hants, England |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 6 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 17 July 1917 |
