| Regimental number | 6468 |
| Place of birth | Springcreek, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Scarborough, South Coast, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. C. Braddock, Scarborough, South Coast, New South Wales |
| Enlistment date | 18 April 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 4 May 1917 |
