| Regimental number | 6619 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Co, Mrs Woods, 254 Moorabool Street, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, 254 Moorabool Street, Geelong, Victoria |
| Enlistment date | 17 August 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 25 August 1917 |
