| Regimental number | 6401 |
| Place of birth | Inglewood New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wirths Park, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Nil |
| Enlistment date | 28 October 1916 |
| Date of enlistment from Nominal Roll | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 6 November 1918 |
