| Regimental number | 6934 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs Ethel Kelly, Echuca Street, Moama, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion 19th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 10 January 1918 |
