| Regimental number | 6906 |
| Place of birth | Bright Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Bright, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Linda Martin, Bright PO, Bright, Victoria |
| Enlistment date | 6 February 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 31 January 1918 |
