| Regimental number | 7569 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Miss J Marshall, 53 Harris Street, North Melbourne,Vic |
| Enlistment date | 25 July 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/31/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 24 December 1918 |
