| Regimental number | 61021 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | 202 Hanna Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs L M Wootton, 52 Tope Street, South Melbourne, Victoria |
| Enlistment date | 20 April 1918 |
| Rank on enlistment | Private |
| Unit name | 9th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 6 September 1919 |
