| Regimental number | 6104 |
| Place of birth | Geelong West Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 59 O'Connell Street, Geelong West, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J Winter, 59 O'Connell Street, Geelong West, Victoria |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 14 January 1919 |
