| Regimental number | 3004 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Carrier |
| Address | The Wayside, Lawson, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs. M A Allen, The Wayside, Lawson, New South Wales |
| Enlistment date | 6 July 1915 |
| Date of enlistment from Nominal Roll | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 11 May 1919 |
