| Regimental number | 4138 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Karrob Lodge, Belair, South Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs R Braley, Karrob Lodge, Belair, South Australia |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 11 May 1916 |
