| Regimental number | 630 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Address | 219 Roden Street, West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Annie Stevens, 219 Roden Street, West Melbourne, Victoria |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, B Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division S Company |
| Fate | Returned to Australia 23 June 1919 |
