| Regimental number | 2269 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | 54 Lonsdale Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Martha Locke, South Melbourne PO, South Melbourne, Victoria |
| Enlistment date | 7 April 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Regimental number from Nominal Roll | 2269A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 7 June 1918 |