| Regimental number | 763 |
| Place of birth | Chiltern Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | ..., William Travillian, Wonthaggi, Victoria |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 16 June 1919 |
