| Regimental number | 3640 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Harvey, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen J Scott, Yarloop, Western Australia |
| Enlistment date | 30 September 1915 |
| Date of enlistment from Nominal Roll | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 20 December 1917 |
