| Regimental number | 5926 |
| Place of birth | Talbot Victoria |
| Religion | Methodist |
| Occupation | Plasterer |
| Address | 10 Lyle Street, West Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Bertha Woolcock, 10 Lyle Street, West Brunswick, Victoria |
| Enlistment date | 3 June 1916 |
| Date of enlistment from Nominal Roll | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| 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 | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |
