| Regimental number | 5123 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs A V Waters, 186 Princes Street, Port Melbourne, Victoria |
| Enlistment date | 20 August 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 24 August 1918 |
