| Regimental number | 4536 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Crown Street, East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | guardian, T W Fuller, 151 Crown Street, East Sydney, New South Wales |
| Enlistment date | 8 September 1915 |
| Date of enlistment from Nominal Roll | 12 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
