| Regimental number | 4002 |
| Place of birth | Carroll New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Carroll, via Gunnedah, NSW, |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J A Allen, Carroll, via Gunnedah , New South Wales |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 13 November 1916 |
