| Regimental number | 4190 |
| Place of birth | Glenelg South Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 17 Huntress Street, Torrensville, South Australia |
| Marital status | Widower |
| Age at embarkation | 56 |
| Next of kin | Daughter, Mrs E M Sheariing, 17 Huntress Street, Torrensville, South Australia |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 19 October 1917 |