| Regimental number | 5090 |
| Place of birth | Norwich England |
| Religion | Roman Catholic |
| Occupation | Gas fitter |
| Address | 198 Bourke Street, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Wiggett, 198 Bourke Street, Darlinghurst, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 6 September 1919 |
