| Regimental number | 3515 |
| Place of birth | Blayney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Woodstock, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs Jane Vane, Woodstock, New South Wales |
| Enlistment date | 21 January 1917 |
| Date of enlistment from Nominal Roll | 20 January 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 10 December 1918 |
