| Regimental number | 6572 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | 137 Cubitt Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Mrs A Ward, 137 Cubitt Street, Richmond, Victoria |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 20 November 1918 |
