| Regimental number | 10639 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 2 Balston Street, Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Friend, Mrs Rose Carr, 2 Balston Street, Balaclava, Victoria |
| Enlistment date | 9 October 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 2 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 15 May 1919 |
