| Regimental number | 4195 |
| Place of birth | Forest Range South Australia |
| Religion | Methodist |
| Occupation | Gardener |
| Address | Forrest Range, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs H Waters, Forrest Range, South Australia |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia 1 May 1919 |
