| Regimental number | 1212 |
| Place of birth | Turilta, Victoria |
| Religion | Church of England |
| Occupation | Station hand |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Cousin, Henry Scott, Pitfield Plains, via Ballarat, Victoria |
| Enlistment date | 4 December 1914 |
| Place of enlistment | Wangaratta, Victoria |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 1st Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 22 February 1917 |
