| Regimental number | 4540 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Bylong, via Rylstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | friend, Mrs J Chapman, Bylong, via Rylstone, New South Wales |
| Enlistment date | 21 August 1915 |
| Date of enlistment from Nominal Roll | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 22 July 1917 |
