| Regimental number | 1102 |
| Place of birth | Kurnool India |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Nora Forbes Fisher, The New Empress Club, 35 Dover Street, Piccadilly London, England |
| Enlistment date | 17 September 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 1 February 1918 |
