| Regimental number | 3654 |
| Place of birth | Geelong Victoria |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Bullfinch, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Amy Matilda Waltham, Bullfinch, Western Australia |
| Enlistment date | 6 October 1915 |
| Date of enlistment from Nominal Roll | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 12 March 1918 |
