| Regimental number | 4240 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Telegraph linesman |
| Address | 23 Beckman Street, West Maitland, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M B Stallard, 23 Beckman Street, West Maitland, New South Wales |
| Enlistment date | 31 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 13 April 1919 |
