| Regimental number | 3921 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rosewater, South Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Emma Walker, c/o R G Othen, 3A Henley Beach Road, Mile End, South Australia |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 9 May 1917 |