| Regimental number | 6956 |
| Place of birth | Kyneton, Victoria |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 469 Punt Road Richmond, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M M Brine, 469 Punt Road, Richmond, Melbourne, Victoria |
| Enlistment date | 22 October 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 21 December 1917 |
