| Regimental number | 6279 |
| Place of birth | Camperdown, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 44 David Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Irene S Brewer, 5 Silvester Street, Cobden, Victoria |
| Enlistment date | 7 October 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 11 January 1918 |
