| Regimental number | 4570 |
| Place of birth | Queenscliff Victoria |
| Religion | Church of England |
| Occupation | Millhand |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, James Arthur Lewin, Picton Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |