| Regimental number | 4901 |
| Place of birth | Gloucester, England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 61 Ramsden Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Mother |
| Enlistment date | 1 November 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Regimental number from Nominal Roll | 4901A |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 12 May 1919 |