| Regimental number | 4638 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Orange Villa, The Oaks Camden, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, J Kelson, Kempson Street, Banksia, New South Wales |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| 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 | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 12 June 1919 |
