| Regimental number | 2253 |
| Place of birth | Swan Hill, Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | 469 Punt Road, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M Brine, 469 Punt Road, Richmond, Victoria |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Fate | No details of fate entered on Nominal Roll |