| Regimental number | 5745 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Book keeper |
| Address | Newington Road, Stawell, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs J A Uren, Newington Road, Stawell, Victoria |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Effective abroad (still overseas) |
