| Regimental number | 6668 |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 25A Rutland Street, |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |