| Regimental number | 812 |
| Place of birth | Beechworth Victoria |
| Religion | Church of England |
| Occupation | Beamsman |
| Address | William Street, Beechworth, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs H Wyatt, William Street, Beechworth, Victoria |
| Enlistment date | 30 June 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 15 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
