| Regimental number | 4655 |
| Place of birth | Lancashire, England |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 53 Union Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Frances Taylor, c/o Mrs Collins, 39 Flinders Street, Northcote, Victoria |
| Enlistment date | 5 October 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 11 December 1918 |
