| Regimental number | 6606 |
| Place of birth | Woodend Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 41 Toorak Road, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs N Wiebye, Gawler Street, Portland, Victoria |
| Enlistment date | 13 June 1916 |
| Date of enlistment from Nominal Roll | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| 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 | 8th Battalion |
| Fate | Returned to Australia 20 December 1917 |
