| Regimental number | 4629 |
| Place of birth | Preston England |
| Religion | Church of England |
| Occupation | Steward |
| Address | 50 Cardigan Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E J Woodburn, 50 Cardigan Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |