| Regimental number | 658 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Five Dock, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs E Fallard, Minnesoto Avenue, Five Dock, Sydney, New South Wales |
| Enlistment date | 10 February 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 30 January 1918 |
