| Regimental number | 2221 |
| Place of birth | Taree New South Wales |
| Religion | Church of England |
| Occupation | Telephone mechanic |
| Address | Orchsrd Street, Croydon, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Charlotte Valentin, Orchard Street, Croydon, New South Wales |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 6th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Karoola on 16 June 1915 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 8 April 1919 |