| Regimental number | 612 |
| Place of birth | Franklin Tasmania |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 130 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Emma Whitbread, Swan Street, Bairnsdale, Victoria |
| Enlistment date | 26 July 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 10 |
| AWM Embarkation Roll number | 24/19/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 3 March 1919 |
