| Regimental number | 5215 |
| Place of birth | Bermagui New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | 83 Fowler Street, Camperdown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs J Whiffen, 83 Fowler Street, Camperdown, Sydney, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 10 April 1919 |