| Regimental number | 3697 |
| Place of birth | Kensington, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss M Brien c/o Mrs H Wilkins, 392 Edward Street, East Brunswick, Victoria |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 15 April 1918 |