| Regimental number | 1004 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 52 McDonald Street, Erskineville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Jane Breese, 52 McDonald Street, Erskineville, Sydney, New South Wales |
| Enlistment date | 8 March 1915 |
| Date of enlistment from Nominal Roll | 18 March 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, D Company |
| AWM Embarkation Roll number | 23/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 2 April 1919 |
