| Regimental number | 7817 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Frankford, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Wise, Frankford, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 27th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |