| Regimental number | 6406 |
| Place of birth | Nathalia Victoria |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 16 Lambeth Street, Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Violet Tuckett, 16 Lambeth Street, Kensington, Victoria |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 24 January 1918 |
