| Regimental number | 4779 |
| Place of birth | Gobur Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 4 Power Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Beatrice May Waltho, 4 Power Street, Adelaide, South Australia |
| Enlistment date | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 22 July 1917 |
