| Regimental number | 7689 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 22 Ross Street, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Bridget Webb, Preston Street, Geelong, Victoria |
| Enlistment date | 16 April 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 2 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 11 April 1916 |
