| Regimental number | 691 |
| Place of birth | Macarthur Victoria |
| Religion | Congregational |
| Occupation | Railway porter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs I Twist, 35 Excelsior Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Company, 12th Reinforcement |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |