| Regimental number | 4571 |
| Place of birth | Bendigo Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 5 Lennox Street, Yarraville, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Yarwood, 5 Lennox Street, Yarraville, Melbourne, Victoria |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 4 May 1917 |
