| Regimental number | 5776 |
| Place of birth | Romsey Victoria |
| Religion | Church of England |
| Occupation | Skilled labourer |
| Address | Bundra Road, via Tongala, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs F A Storey, Bundra Road, via Tongala, Victoria |
| Enlistment date | 21 February 1915 |
| Date of enlistment from Nominal Roll | 3 March 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 27 September 1917 |