| Regimental number | 4829 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 30 Little Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister-in-Law, Mrs Lily Sticken, 30 Little Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 4 May 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 1, Reinforcement 8 |
| AWM Embarkation Roll number | 13/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on 15 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Discharged 22 August 1919 |
