| Regimental number | 4982 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 'Berrigan', Bourke, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 8 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd ARMY Brigade |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |