| Regimental number | 2828 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Miss Walsh, 52 Thistlethwaite Street, South Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Date of enlistment from Nominal Roll | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Moldavia on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 22 December 1918 |
