| Regimental number | 5831 |
| Place of birth | Sale Victoria |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | Sale, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Edith Alison Storey, Sale, Victoria |
| Enlistment date | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 21 April 1918 |